Individual
STEPHANIE MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3063 MEADOWLARK LN, #10, ALTOONA, WI 54720
(715) 834-8858
Mailing address
3063 MEADOWLARK LN, #10, ALTOONA, WI 54720
(715) 834-8858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3420-35
WI
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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