Individual
DR. NICHOLAS JOEL KOMRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
520 WILSON AVE, MENOMONIE, WI 54751-2516
(715) 235-2855
(715) 235-9436
Mailing address
520 WILSON AVE, MENOMONIE, WI 54751-2516
(715) 235-2855
(715) 235-9436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2903-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38719700
—
WI
Enumeration date
08/18/2005
Last updated
12/29/2014
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