NPI 1386743425

Mark A. Mlsna, OD

Practitioner Optometrist Menomonee Falls, WI

Practice location

Address: N89w16785 Appleton Ave, Menomonee Falls, WI 53051-2071
Phone: (262) 253-4000
Fax: (262) 253-4100

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TPA 2057-035 (WI)

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Registry record

NPI: 1386743425
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2006
Record last updated: 9 Jul 2007

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.