Organization
MIDLINE VISION GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HUBER (MANAGER CBO)
(715) 298-3486
Entity
Organization
Contact information
Practice address
714 3RD AVE, ANTIGO, WI 54409-2044
(715) 623-2180
(715) 623-7244
Mailing address
408 N 3RD ST STE 402, WAUSAU, WI 54403-5455
(715) 298-3486
(715) 298-3486
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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