Organization
NORTH SHORE EYE HEALTH AND WELLNESS, SC
Active
Other names
North Shore Eye Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE DAVID ROSS OD, FAAO (PRESIDENT)
(262) 421-4412
Entity
Organization
Contact information
Practice address
N54W6135 MILL ST, SUITE 700, CEDARBURG, WI 53012-2021
(262) 421-4412
(262) 421-4413
Mailing address
N54W6135 MILL ST, SUITE 700, CEDARBURG, WI 53012-2021
(262) 421-4412
(262) 421-4413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3226-035
WI
Other
Enumeration date
03/12/2014
Last updated
09/23/2014
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