Organization
EYE CLINIC OF WISCONSIN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON J LONG COE (ADMINISTRATOR)
(715) 261-8500
Entity
Organization
Contact information
Practice address
3401 STANLEY ST, STEVENS POINT, WI 54481-1326
(715) 344-6544
(715) 344-7391
Mailing address
PO BOX 689, WAUSAU, WI 54402-0689
(715) 261-8500
(715) 261-8667
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32667800
—
WI
Enumeration date
11/28/2005
Last updated
07/19/2011
Update your record
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