Individual
DR. BRYAN CLIVE GIRONELLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2200 LINCOLN ST, SHOPKO EYE CARE CENTER, RHINELANDER, WI 54501-3631
(715) 362-4800
(715) 362-4919
Mailing address
2200 LINCOLN ST, SHOPKO EYE CARE CENTER, RHINELANDER, WI 54501-3631
(715) 362-4800
(715) 362-4919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2830-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38617100
—
WI
Enumeration date
05/11/2006
Last updated
07/08/2007
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