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Individual

DR. LOGAN KIEKHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3374-35
WI

Other

Enumeration date
06/17/2015
Last updated
09/11/2020
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