Individual
MS. MEGAN LOUISE THISTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
878 W AIRPORT RD, MENASHA, WI 54952-1461
(920) 806-3005
(920) 806-3004
Mailing address
878 W AIRPORT RD, MENASHA, WI 54952-1461
(920) 806-3005
(920) 806-3004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3507-35
WI
Other
Enumeration date
04/03/2016
Last updated
12/20/2024
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