Individual
RICHARD LEE FELTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
217 S 52ND AVE, WAUSAU, WI 54401-8068
(715) 842-4464
Mailing address
217 S 52ND AVE, WAUSAU, WI 54401-8068
(715) 842-4464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1726
WI
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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