Individual
SANDRA J HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1337 NO TAYLOR DR, STE 202, SHEBOYGAN, WI 53081-3012
(920) 452-5213
(920) 452-6750
Mailing address
1337 NO TAYLOR DR, STE 202, SHEBOYGAN, WI 53081-3012
(920) 452-5213
(920) 452-6750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2592
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38596800
—
WI
Enumeration date
12/08/2006
Last updated
11/27/2012
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