Organization
EYE CARE SURGICAL CONSULTING SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY R LAPORTE (MANAGER)
(262) 752-2020
Entity
Organization
Contact information
Practice address
4060 N MAIN ST, RACINE, WI 53402-3121
(262) 752-2020
Mailing address
4060 N MAIN ST, RACINE, WI 53402-3121
(262) 752-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26907-020
WI
Other
Enumeration date
07/09/2008
Last updated
02/15/2009
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