THADDEUS DANIEL

Optometrist

NPI: 1366576399Individual

Specialties, Licenses & Credentials

OptometristPrimary

Optometrist

Code: 152W00000X

2396(CO)2359(WI)

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Contact & Hours

Address: 1244 E GREEN BAY ST, OPTICAL DEPT
SHAWANO, WI 54166
Phone: (715) 526-2376

Quick Facts

NPI: 1366576399
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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