Organization
EYE CLINIC OF WISCONSIN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS T. EDWARDS MD (MD OWNER)
(715) 261-8500
Entity
Organization
Contact information
Practice address
2 E OCALA ST, RHINELANDER, WI 54501-3907
(715) 362-2600
(715) 362-2081
Mailing address
800 1ST ST, PO BOX 689, WAUSAU, WI 54403-4754
(715) 261-8500
(715) 261-8667
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32667800
—
WI
Enumeration date
11/28/2005
Last updated
01/21/2025
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