Organization
CHIPPEWA VALLEY EYE CLINIC CHIPPEWA FALLS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER W HOLM (PRESIDENT)
(715) 723-9375
Entity
Organization
Contact information
Practice address
2525 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54741
(715) 723-9375
(715) 723-1092
Mailing address
2525 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729
(715) 723-9375
(715) 723-1092
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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