Individual
JEFFERY F KNEIERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
740 REENA AVE, SUITE B, FORT ATKINSON, WI 53538-3145
(920) 563-8468
(920) 563-0178
Mailing address
740 REENA AVE, SUITE B, FORT ATKINSON, WI 53538-3145
(920) 563-8468
(920) 563-0178
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2503-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033160767
—
WI
Enumeration date
05/15/2006
Last updated
12/03/2020
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