Individual
JENNIFER MARIE GROEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
(608) 825-3517
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
(608) 825-3517
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3178-35
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013237155
—
WI
Enumeration date
06/10/2010
Last updated
11/17/2020
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