Organization
REGNER FAMILY VISION CLINIC, S.C.
Active
Organization
REGNER FAMILY VISION CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L REGNER OD (PRESIDENT)
(262) 694-9103
Entity
Organization
Contact information
Practice address
4014 77TH ST, KENOSHA, WI 53142-4314
(262) 694-9103
(262) 694-9106
Mailing address
4014 77TH ST, KENOSHA, WI 53142-4314
(262) 694-9103
(262) 694-9106
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1356-035
WI
Other
Enumeration date
12/15/2006
Last updated
03/08/2011
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