David W Kisiolek, O.D. Valid NPI
Individual provider · Optometrist · Howards Grove, WI
- NPI
- 1285748459
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 1742 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-18
- Last updated
- 2025-01-27
Practice location
300 Audubon Rd
Howards Grove, WI 53083-1280
(920) 565-3991