Organization
EYE PHYSICIANS AND SURGEONS SC
Active
Parent organization
EYE PHYSICIANS AND SURGEONS SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE PHYSICIANS AND SURGEONS SC
Authorized official
MATTHEW A DAHLGREN MD (PRESIDENT)
(262) 723-4600
Entity
Organization
Contact information
Practice address
222 ADAMS ST, BURLINGTON, WI 53105-1466
(262) 763-7772
(262) 763-7315
Mailing address
1311 S LINCOLN ST, ELKHORN, WI 53121-4375
(262) 723-4600
(262) 723-4710
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
12/15/2020
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