Individual
DR. JOHN ERIC PAULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
165 N 3RD AVE, STURGEON BAY, WI 54235-2415
(920) 743-2020
(920) 743-9601
Mailing address
165 N 3RD AVE, STURGEON BAY, WI 54235-2415
(920) 743-2020
(920) 743-9601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1895
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38519100
—
WI
Enumeration date
09/06/2005
Last updated
01/14/2014
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