Organization
RETINAL RECOVERY LLC
Active
Other names
Thomas C Jonson
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C JONSON (OWNER)
(414) 750-7390
Entity
Organization
Contact information
Practice address
9036 S CAROLLTON DR, OAK CREEK, WI 53154-4128
(414) 301-4260
Mailing address
9036 S CAROLLTON DR, OAK CREEK, WI 53154-4128
(414) 750-7390
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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