Organization
DR. TIM R. SEIFERT, OPTOMETRIST, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM R. SEIFERT O.D. (PRESIDENT OF S.C.)
(262) 367-6610
Entity
Organization
Contact information
Practice address
211 COTTONWOOD AVE, HARTLAND, WI 53029-2016
(262) 367-6610
Mailing address
211 COTTONWOOD AVE, HARTLAND, WI 53029-2016
(262) 367-6610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1488
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38558800
—
WI
Enumeration date
05/17/2007
Last updated
02/22/2008
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