Individual
DR. MARK E GERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11307 N PORT WASHINGTON RD, MEQUON, WI 53092-3411
(262) 241-1919
(262) 241-9046
Mailing address
11307 N PORT WASHINGTON RD, MEQUON, WI 53092-3411
(262) 241-1919
(262) 241-9046
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2176-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38588100
—
WI
Enumeration date
06/14/2005
Last updated
01/29/2018
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