Individual
SHAWN ALLEN STOFFREGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3800 STATE ROAD 16, SUITE 146, LA CROSSE, WI 54601-1826
(608) 781-8866
Mailing address
18186 ICICLE RD, SPARTA, WI 54656-4405
(608) 269-7102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2396
WI
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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