Individual
DR. MICHAEL J WIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4801 EXPO DR, MANITOWOC, WI 54220-9341
(920) 684-4429
(920) 684-6892
Mailing address
PO BOX 1900, MANITOWOC, WI 54221-1900
(920) 684-4429
(920) 684-6892
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1608
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38500200
—
WI
01
—
39748359005
BLUE CROSS/BLUE SHIELD
WI
Enumeration date
09/01/2005
Last updated
02/25/2010
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