David W. Kisiolek, O.d., S.c.

NPI 1619065224

Information of David W. Kisiolek, O.d., S.c.

The NPI 1619065224 is an Organization type. NPI No 1619065224 belongs to David W. Kisiolek, O.d., S.c.. David W. Kisiolek, O.d., S.c. specializes in Optometrist. is practising at 300 Audubon Rd, Howards Grove, Wisconsin 53083. You can also contact him via phone number (920) 565-3991.

Practice address located

  • 300 Audubon Rd
  • Howards Grove, Wisconsin 53083
  • (920) 565-3991
  • (920) 565-3991

Mailling address located

  • 300 Audubon Rd
  • Howards Grove, Wisconsin 53083
  • (920) 565-3991
  • (920) 565-4404
David W. Kisiolek, O.d., S.c. is PECOS enrolled.
NPI No 1619065224
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes152W00000XOptometrist1742Wisconsin
Identifier for this provider
StateIdentifierTypeIssuer
WI000087384Medicare ID-Type Unspecifiedn/a
WI0665750001Medicare NSCn/a
WI38514400Medicaidn/a
WIT62421Medicare UPINn/a
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