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Contact Information

DAVID R DUFECK, OD
301 N BROADWAY
DE PERE, WI54115
 Phone: 920-336-7700
 Fax: 920-338-1799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVID R DUFECK · (Male)

NPI # 1003927278
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/31/2006
Last updated 01/07/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1428
  • WI Medicaid 38517800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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