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Individual

DR. ANDREW JOHN MAGIERA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
222 N MAIN ST, KIMBERLY, WI 54136
(920) 788-5612
Mailing address
W6066 HEARTHSTONE DR, APPLETON, WI 54915
(920) 915-7462
(920) 257-4403

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2994035
WI

Other

Enumeration date
03/24/2006
Last updated
07/08/2007
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