Individual
DAVID CARLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N 1ST ST, WAUSAU, WI 54403-4754
(715) 261-8500
Mailing address
800 N 1ST ST, WAUSAU, WI 54403-4754
(715) 261-8500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
02007182A
IN
207W00000X
Ophthalmology Physician
Primary
81541
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02007182A
INDIANA STATE LICENSE
IN
01
—
81541
MEDICAL LICENSE
WI
Enumeration date
04/22/2019
Last updated
10/31/2024
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