Whalio Doctors

NPI 1346204757

John Dominic Decarlo, MD

Practitioner Ophthalmology Physician Brookfield, WI

Practice location

Address
16650 W Bluemound Rd # 400b, Brookfield, WI 53005-5920
Phone
(414) 476-5120
Fax
(414) 476-5181

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 21652-020 (WI)

Registry record

NPI
1346204757
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Apr 2006
Record last updated
19 Feb 2024

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.