Organization
HALE CENTER FOR REFRACTIVE SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE GINGRAS (ADMINISTRATOR)
(262) 789-9179
Entity
Organization
Contact information
Practice address
20350 WATER TOWER BLVD, SUITE 200, BROOKFIELD, WI 53045-3558
(262) 789-9029
(262) 789-9069
Mailing address
20350 WATER TOWER BLVD, SUITE 200, BROOKFIELD, WI 53045-3558
(262) 789-9029
(262) 789-9069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
01/04/2008
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