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Organization

FAMILY VISION CENTER OF LA CROSSE

Active
Other names
Richard L. Foss OD, Family Vision Center of Tomah
Organization subpart
No

Provider details

NPI number
Authorized official
ANN M WONDERLING O.D. (OWNER/OPTOMETRIST)
(608) 788-4300
Entity
Organization

Contact information

Practice address
1825 N SUPERIOR AVE, TOMAH, WI 54660-1683
(608) 372-4664
(608) 372-3021
Mailing address
1825 N SUPERIOR AVE, TOMAH, WI 54660-1683
(608) 372-4664
(608) 372-3021

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1466
WI
152W00000X
Optometrist
Primary
2949
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38563100
WI
05
387010300
WI
Enumeration date
10/28/2008
Last updated
04/04/2017
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