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Individual

DR. WILLIAM E BOURGEOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1507 MAIN ST, MARINETTE, WI 54143-1301
(715) 735-9593
Mailing address
PO BOX 167, MARINETTE, WI 54143-0167
(715) 735-9593

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1571
WI

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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