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Andrey Ianovski, OD

Optometrist in Oak Creek, WI. Individual provider (NPI-1).

NPI number1376007229
StatusActive
Last updated in NPPESJan 24, 2019

Details

NPI
1376007229
Entity type
Individual (NPI-1)
Name
Andrey Ianovski
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 24, 2019
Last updated
Jan 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist353735WIYes

Practice location

8661 S Howell Ave Ste 200
Oak Creek, WI 53154-2919

Phone 414-847-0164

Mailing address

860 Weidner Rd Apt 502
Buffalo Grove, IL 60089-4753

Phone 440-212-6885

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Other Optometrist providers in Oak Creek, WI

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