Broadway Vision Center
Broadway Vision Center
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NPI Provider: 1568641439
Contact Name: Johnson A Carole
Position: Billing Coordinator
Phone: (715) 258-9122
Broadway Vision Center Information:
Broadway Vision Center organization have npi 1568641439, taxonomy code is 261QM2500X with license number is 1938 in . This Business address located in 815 W Fulton St, Waupaca, WI 54981 Wisconsin.
Practice Location
Address: 815 W Fulton St, Waupaca, WI 54981
Phone: (715) 258-9122
Business Location
Address: 815 W Fulton St, Waupaca, WI 54981
Phone: (715) 258-9122
Fax: (715) 258-3090
Taxonomy
Taxonomy Code: 261QM2500X
License Number: 1938
License Number of State: WI
Primary Taxonomy Switch: Y
Enumeration Date: 10/29/2007
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