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Individual

DR. JACOB WITTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1225 W NORTHLAND AVE, APPLETON, WI 54914-1416
(920) 731-2020
Mailing address
9 GRACE CT, APPLETON, WI 54915-4717
(920) 470-0632

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3490-35
WI

Other

Enumeration date
08/18/2017
Last updated
08/18/2017
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