Doctor Name: | CHRISTOPHER J PALS |
NPI Number: | 1073845632 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2525 County Highway I Chippewa Falls, WI - 547291422 |
Business Phone Number: | 7157236520 |
Business Fax Number: | 7157231092 |
Mailing Address: | 2525 County Highway I, CHIPPEWA FALLS |
State: | WI |
Postal Code: | 547291422 |
Phone Number: | 7157236520 |
Fax Number: | 7157231092 |
NPI Enumeration Date: | 02/08/2010 |
NPI Last Update Date: | 02/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |