Third Coast Retina SC
Third Coast Retina SC is a Retina Specialist (Ophthalmology) Physician in Kenosha, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5017 Green Bay Rd Ste 148Kenosha, WI 53144-1782
Phone: (262) 420-5888
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Specialties & licences
| Retina Specialist (Ophthalmology) Physician (primary) | Taxonomy 207WX0107X |
|---|
Record details
| NPI number | 1831823921 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clinton Warren — President · (262) 420-5888 |
| NPI enumerated | July 13, 2022 |
| Last updated in NPPES | August 10, 2022 |
| Certification date | August 10, 2022 |
| Mailing address | 5017 Green Bay Rd Ste 148, Kenosha, WI 53144-1782 |
Other providers in Kenosha
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Clinton Charles Warren, MD
5017 Green Bay Rd Ste 148, Kenosha, WI 53144-1782 · (262) 420-5888