Organization
DELAVAN FAMILY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIOVANNA MARIE MOSES OD (OPTOMETRIST)
(262) 728-2667
Entity
Organization
Contact information
Practice address
1221 PHOENIX ST, DELAVAN, WI 53115-2340
(262) 728-2667
Mailing address
PO BOX 908, DELAVAN, WI 53115-0908
(262) 728-2667
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
WI
Other
Enumeration date
09/22/2016
Last updated
09/23/2016
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