Individual
KIRBY D REDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1020 3RD AVE, WOODRUFF, WI 54568-1520
(715) 356-2262
(715) 356-2257
Mailing address
9319 TIMBERLINE DR, MINOCQUA, WI 54548
(715) 356-7811
(715) 356-2257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1759
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38512900
—
WI
Enumeration date
08/14/2006
Last updated
02/07/2008
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