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Individual

MALLORY FLORENCE ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 459-1102
Mailing address
2735 N 30TH ST, SHEBOYGAN, WI 53083-3624
(920) 254-5671

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3506-35
WI
152WC0802X
Corneal and Contact Management Optometrist
3506-35
WI
152WP0200X
Pediatric Optometrist
3506-35
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100080361
WI
Enumeration date
06/14/2018
Last updated
11/19/2021
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