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Contact Information

DALE T MASSIGNAN, OD
523 EAST WALL STREET
EAGLE RIVER, WI54521
 Phone: 715-479-6489
 Fax: 715-479-6200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DALE T MASSIGNAN · (Male)

NPI # 1760487607
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/16/2005
Last updated 01/02/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 1821
  • WI Medicaid 38517000
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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