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Organization

BEL-REGIONAL HOME MEDICAL INC

Active
Other names
BELLIN EYE CLINIC-BRILLION
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE K STROOBANTS (CLINIC PROVIDER CREDENTIALING)
(920) 445-7222
Entity
Organization

Contact information

Practice address
964 W RYAN ST, SUITE E, BRILLION, WI 54110
(920) 756-3242
Mailing address
964 W RYAN ST, SUITE E, BRILLION, WI 54110
(920) 756-3242

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38727100
WI
Enumeration date
08/07/2008
Last updated
10/14/2009
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