Organization
NORTHERN WATERS OPHTHALMOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W SNEED MD (PRESIDENT)
(715) 682-0363
Entity
Organization
Contact information
Practice address
2111 BEASER AVE, ASHLAND, WI 54806-3608
(715) 682-0363
(715) 682-9638
Mailing address
2111 BEASER AVE, ASHLAND, WI 54806-3608
(715) 682-0363
(715) 682-9638
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32838900
—
WI
Enumeration date
05/17/2006
Last updated
09/11/2014
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