Dr. Paul R Dalecky, O.D.
Optometrist in Milwaukee, WI. Individual provider (NPI-1).
NPI number1790741809
StatusActive
Last updated in NPPESJan 8, 2008
Details
- NPI
- 1790741809
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul R Dalecky
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2006
- Last updated
- Jan 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1709 | WI | Yes |
Practice location
1920 W Layton AveMilwaukee, WI 53221-5310
Phone 414-325-8600
Mailing address
16800 W Cleveland AveNew Berlin, WI 53151-3533
Phone 262-432-2005
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