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Individual

DR. JACOB HEFFELFINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
330 N CENTURY AVE, WAUNAKEE, WI 53597-1147
(815) 499-0402
Mailing address
330 N CENTURY AVE, WAUNAKEE, WI 53597-1147
(815) 499-0402

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4090-35
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/23/2025
Last updated
07/16/2025
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