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Individual

DR. PAUL R DALECKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1920 W LAYTON AVE, MILWAUKEE, WI 53221-5310
(414) 325-8600
Mailing address
16800 W CLEVELAND AVE, NEW BERLIN, WI 53151-3533
(262) 432-2005

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1709
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WI 1709
EYEMED VISION NO.
Enumeration date
04/26/2006
Last updated
01/08/2008
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