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Organization

NORTH AVENUE VISION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARVIN SCHEFRIN O.D. (OWNER)
(414) 342-3622
Entity
Organization

Contact information

Practice address
2230 W NORTH AVE, MILWAUKEE, WI 53205-1134
(414) 342-3622
(414) 342-2680
Mailing address
2230 W NORTH AVE, MILWAUKEE, WI 53205-1134
(414) 342-3622
(414) 342-2680

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1088
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38405200
WI
Enumeration date
05/05/2008
Last updated
05/05/2008
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