Organization
DR J J MARSH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J. MARSH O.D. (OPTOMETRIST/OWNER)
(920) 426-2020
Entity
Organization
Contact information
Practice address
2510 W. 9TH AVE, OSHKOSH, WI 54904-4907
(920) 426-2020
(920) 235-3195
Mailing address
2510 W. 9TH AVE, OSHKOSH, WI 54904-4907
(920) 426-2020
(920) 235-3195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2161
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2161
STATE LICENSE
WI
05
—
38529700
—
WI
Enumeration date
08/30/2006
Last updated
04/26/2017
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