Individual
IVAN ANDREW IRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18110 W BLUEMOUND RD, BROOKFIELD, WI 53045-2917
(262) 860-1771
(262) 860-1781
Mailing address
19050 BAYTHORN WAY, BROOKFIELD, WI 53045-3810
(414) 405-7167
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42239-020
WI
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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