Individual
TRAVIS JAYSON WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 W 9TH AVE STE 3, OSHKOSH, WI 54904-8730
(920) 350-9973
Mailing address
506 E LONGVIEW DR, APPLETON, WI 54911-2105
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1458-60
WI
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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