Individual
MR. MARK EDWARD VETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7511 HARWOOD AVE, WAUWATOSA, WI 53213-2606
(414) 453-1300
(414) 453-1330
Mailing address
1155 KAVANAUGH, WAUWATOSA, WI 53213-3146
(414) 520-8687
(414) 453-1330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2956-35
WI
152W00000X
Optometrist
2956035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38622200
—
WI
Enumeration date
08/31/2006
Last updated
10/16/2025
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