Individual
DAVID BJORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1674 OLD SCHOOLHOUSE RD STE 101, OCONOMOWOC, WI 53066-1396
(262) 354-0410
(262) 567-0744
Mailing address
1674 OLD SCHOOLHOUSE RD STE 101, OCONOMOWOC, WI 53066-1396
(262) 354-0410
(262) 567-0744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3017-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376724377
NPI GROUP NUMBER
WI
05
—
38726800
—
WI
Enumeration date
11/14/2006
Last updated
04/12/2012
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