Individual
JOHN W. SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
205 DIVISION ST, MAUSTON, WI 53948-2109
(608) 847-6264
(608) 847-7279
Mailing address
205 DIVISION ST, MAUSTON, WI 53948-2109
(608) 847-6264
(608) 847-7279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1761
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38516200
—
WI
Enumeration date
10/18/2006
Last updated
07/09/2007
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