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Individual

WILLIAM DICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1437 S MAIN ST, WEST BEND, WI 53095-4931
(262) 334-1925
(262) 334-4303
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1345-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38500700
WI
Enumeration date
12/27/2006
Last updated
07/09/2007
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