Individual
DEAN FAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
107 S CENTRAL AVE, MARSHFIELD, WI 54449-2834
(715) 660-8337
Mailing address
107 S CENTRAL AVE, MARSHFIELD, WI 54449-2834
(715) 660-8337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2426
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38609000
—
WI
Enumeration date
08/21/2006
Last updated
10/12/2018
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