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Dean Fait, OD

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

NPI number1780799205
StatusActive
Last updated in NPPESOct 12, 2018

Details

NPI
1780799205
Entity type
Individual (NPI-1)
Name
Dean Fait
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 21, 2006
Last updated
Oct 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2426WIYes

Practice location

107 S Central Ave
Marshfield, WI 54449-2834

Phone 715-660-8337

Mailing address

107 S Central Ave
Marshfield, WI 54449-2834

Phone 715-660-8337

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