Individual
RYAN DEMARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16025 W BLUEMOUND RD, BROOKFIELD, WI 53005-6001
(262) 785-0490
(262) 785-1690
Mailing address
1121 AMERICAN AVE, WAUKESHA, WI 53188-4923
(312) 371-5633
(414) 769-6998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2980-036
WI
Other
Enumeration date
01/03/2007
Last updated
04/11/2008
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