Individual
MACIE BRAHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1674 OLD SCHOOLHOUSE RD STE 101, OCONOMOWOC, WI 53066-1396
(262) 567-2295
Mailing address
1674 OLD SCHOOLHOUSE RD STE 101, OCONOMOWOC, WI 53066-1396
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4007-35
WI
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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