Individual
MARIAH LEIGH METOXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1532 MICHIGAN ST, STURGEON BAY, WI 54235-1406
(920) 265-0780
Mailing address
1532 MICHIGAN ST, STURGEON BAY, WI 54235-1406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3703
WI
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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