Search › Wisconsin › 152W00000X
Ryan Deibert, O.D
NPI 1588896104 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3049 S Oakes Rd
Sturtevant, WI 53177 - Phone
- (414) 550-8530
- Organisation at this address
- Hinson Family Vision
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin