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Organization

EYE CARE SURGICAL CONSULTING, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JODY R LAPORTE M.D. (PRESIDENT)
(262) 752-2020
Entity
Organization

Contact information

Practice address
4060 N MAIN ST, RACINE, WI 53402-3121
(262) 752-2020
Mailing address
4060 N MAIN ST, RACINE, WI 53402-3121
(262) 752-2020

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26907-020
WI
207W00000X
Ophthalmology Physician
44898-020
WI

Other

Enumeration date
02/15/2007
Last updated
02/19/2009
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