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Individual

SIMRAN BRAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD, FAAO

Contact information

Practice address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(414) 266-2020
(262) 432-7779
Mailing address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(414) 266-2020
(262) 432-7779

Taxonomy

Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
2019017187
MO
152WP0200X
Pediatric Optometrist
Primary
3858-35
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982263653
WI
Enumeration date
06/06/2019
Last updated
01/05/2024
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