Individual
DR. NATHAN PAUL FORST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1300 S. KOELLER ROAD, OSHKOSH, WI 54902-6196
(920) 426-5730
(920) 426-1708
Mailing address
1212 S KOELLER ST, OSHKOSH, WI 54902-6170
(920) 426-5730
(920) 426-1708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3029-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38626900
—
WI
Enumeration date
05/16/2006
Last updated
12/02/2019
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