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HERSLOF'S, INC

Eye and Vision Services Providers Technician/Technologist Optician

Provider NPI: 1518096072

Organization Information:
Organization Name:  HERSLOF'S, INC
Authorized Official:  VICKI  DICKMAN  VP  414-462-1300

Practice Location:
3108 S BUSINESS DR  SHEBOYGAN, WI 53081-6524 US
Tel: 920-457-1300  Fax: --

Business Mailing Address:
12000 W CARMEN AVE  MILWAUKEE, WI 53225-2116 US
Tel: 414-462-1300  Fax: --

NPI Information:
NPI: 1518096072
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156FX1800XEye and Vision Services Providers
Technician/Technologist
Optician

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 156FX1800X

Type:

Classification:



Definition:



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