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Individual

SUSAN L ORVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
W63 N543 B HANOVER AVE., CEDARBURG, WI 53012-0826
(262) 377-3937
(262) 377-3948
Mailing address
W63 N543 B HANOVER AVE., P.O. BOX 826, CEDARBURG, WI 53012-0826
(262) 377-3937
(262) 377-3948

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2522-035
WI

Other

Enumeration date
01/24/2008
Last updated
01/24/2008
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