Organization
CORGAN VISION CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CORGAN (OPTOMETRIST)
(715) 330-5570
Entity
Organization
Contact information
Practice address
2706 CAHILL RD STE E, MARINETTE, WI 54143-3886
(715) 330-5570
(715) 330-5369
Mailing address
2706 CAHILL RD STE E, MARINETTE, WI 54143-3886
(715) 330-5570
(715) 330-5369
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2655
WI
Other
Enumeration date
01/18/2011
Last updated
06/14/2022
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