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Individual

MR. MICHAEL R BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.C.O.

Contact information

Practice address
4606 COMMERCE VALLEY RD, SUITE 201, EAU CLAIRE, WI 54701-7075
(715) 833-2277
(715) 833-2295
Mailing address
4606 COMMERCE VALLEY RD, SUITE 201, EAU CLAIRE, WI 54701-7075
(715) 833-2277
(715) 833-2295

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
156FX1800X
Optician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841416062
WI
05
38430000
WI
Enumeration date
04/17/2007
Last updated
12/15/2022
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