Individual
MARGUERITE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10351 WASHINGTON AVE, SUITE 300, STURTEVANT, WI 53177-1643
(262) 880-4733
Mailing address
4412 WOODLAND TRL, STURTEVANT, WI 53177-3058
(262) 880-4733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3224
WI
Other
Enumeration date
05/27/2011
Last updated
11/30/2016
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