NPI 1568641439

Daniel L. Gauerkei Dba Broadway Vision Center

Organisation Medical Specialty Clinic/Center Waupaca, WI

Practice location

Address: 815 W Fulton St Suite 103, Waupaca, WI 54981-1405
Phone: (715) 258-9122
Fax: (715) 258-3090

Authorised official

Name: Heidy J Guyer
Title: Practice Manager
Phone: (715) 258-9122

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X Licence 1938 (WI)

Other Clinic/Center providers in Wisconsin →

Registry record

NPI: 1568641439
Entity type: Organization
NPI issued: 29 Oct 2007
Record last updated: 29 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.