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Individual

RON M TAUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1100 E RIVERVIEW EXPY, WISCONSIN RAPIDS, WI 54494-5483
(715) 423-1340
Mailing address
1100 E RIVERVIEW EXPY, WISCONSIN RAPIDS, WI 54494-5483
(715) 423-1340

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1911-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38575700
WI
Enumeration date
05/15/2006
Last updated
03/18/2010
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