Individual
DR. MARK E. JAMES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
822 PARK AVE, BEAVER DAM, WI 53916-2266
(920) 887-3791
Mailing address
822 PARK AVE, BEAVER DAM, WI 53916-2266
(920) 887-3791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2181
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38422300
—
WI
Enumeration date
06/12/2006
Last updated
07/08/2007
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