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Individual

DR. KARL GREGORY SCHWANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5497 S 76TH ST, GREENDALE, WI 53129-1130
(414) 423-0293
Mailing address
11013 67TH ST, KENOSHA, WI 53142-7548
(262) 764-2023

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2973-035
WI
152W00000X
Optometrist
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38631200
WI
Enumeration date
04/04/2007
Last updated
07/09/2007
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