Individual
DR. MICAH JUEDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
950 W RYAN ST, BRILLION, WI 54110-1042
(920) 756-2020
Mailing address
950 W RYAN ST, BRILLION, WI 54110-1042
(920) 756-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3351-35
WI
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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