Gene D Prudhon, O.D. Valid NPI

Individual provider · Optometrist · Brodhead, WI

NPI

1841285947

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

1483 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2005-09-14

Last updated

2011-02-08