Individual
JOSHUA EERNISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
N5010 BEAVERBROOK AVE STE 1, SPOONER, WI 54801-5301
Mailing address
15936 US HIGHWAY 63, HAYWARD, WI 54843-7162
(715) 634-1028
(715) 634-9334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3996
WI
Other
Enumeration date
05/07/2024
Last updated
05/19/2024
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