Organization
NORTHERN SIGHT VISION CLINIC, LLC
Active
Other names
Maley and Stromberg Eye Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA J STROMBERG OD (OPTOMETRIST / CO-OWNER)
(715) 453-3636
Entity
Organization
Contact information
Practice address
318 N. 6TH STREET, TOMAHAWK, WI 54487
(715) 453-3636
(715) 453-3011
Mailing address
318 N. 6TH STREET,, TOMAHAWK, WI 54487
(715) 453-3636
(715) 453-3389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2911
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38564600
—
WI
05
—
38618200
—
WI
Enumeration date
04/26/2007
Last updated
04/29/2014
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