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Organization

OPHTHALMIC SURGERY OF WI LTD

Active
Other names
Ophthalmic Surgery of Wisconsin Ltd, Ophthalmic Surgery of Wisconsin, Ltd
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD P CLARKE M.D. (PRESIDENT)
(920) 236-4177
Entity
Organization

Contact information

Practice address
509 S WASHBURN ST, OSHKOSH, WI 54904
(920) 236-1477
(920) 236-4166
Mailing address
PO BOX 308, NEENAH, WI 54957-0308
(920) 886-7300
(920) 729-6603

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
01/22/2007
Last updated
06/24/2019
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