Individual
DR. NINA J SERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8472
(920) 926-8391
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3135
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200904360
—
IN
Enumeration date
06/25/2008
Last updated
10/21/2020
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