Individual
CORTNEY D BIRSCHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
355 N PETERS AVE, FOND DU LAC, WI 54935-8258
(920) 922-7121
Mailing address
355 N PETERS AVE, FOND DU LAC, WI 54935-8258
(920) 922-7121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3576-35
WI
152WC0802X
Corneal and Contact Management Optometrist
3576-35
WI
Other
Enumeration date
07/06/2019
Last updated
04/17/2020
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