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Individual

MARK R MEULER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 334-3451
Mailing address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 334-3451

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1889
WI

Other

Enumeration date
08/29/2005
Last updated
04/01/2013
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