Organization · Type 2 NPI
Third Coast Retina S.c.
Retina Specialist (Ophthalmology) Physician · Kenosha, WI
NPI number
1831823921
Active
Practice location
5017 Green Bay Rd Ste 148
Kenosha, WI 53144-1782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | None listed |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Another provider at this address
About NPI 1831823921
Third Coast Retina S.c.'s National Provider Identifier is 1831823921, issued on Jul 13, 2022. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Kenosha, WI. The record was last updated on Aug 10, 2022.