Individual
RALPH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2080
WI
Other
Enumeration date
11/20/2006
Last updated
12/18/2020
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