Individual
KATHERINE BEERNTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2500 MILTON AVE, JANESVILLE, WI 53545-0452
(608) 757-2633
(608) 757-2625
Mailing address
1680 HAWKINSON RD, OREGON, WI 53575-2306
(608) 873-9680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2338
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38599500
—
WI
Enumeration date
12/27/2006
Last updated
04/03/2009
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