Individual
KERRI LEE GRAMS VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
N95W18161 APPLETON AVE 103, LENS CRAFTERS, MENOMONEE FALLS, WI 53051
(262) 251-1378
(262) 251-1659
Mailing address
N95W18161 APPLETON AVE 103, LENS CRAFTERS, MENOMONEE FALLS, WI 53051
(262) 251-1378
(262) 251-1659
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2546035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38598600
—
WI
Enumeration date
03/02/2007
Last updated
04/25/2008
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