Individual
DR. J BRIAN CONRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
110 E DIVISION ST, FOND DU LAC, WI 54935-4369
(920) 922-5430
Mailing address
110 E DIVISION ST, FOND DU LAC, WI 54935-4369
(920) 922-5430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.009440
IL
152W00000X
Optometrist
18003173
IN
152W00000X
Optometrist
Primary
324235
WI
Other
Enumeration date
08/15/2006
Last updated
12/21/2011
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