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Organization

EVANSVILLE EYE CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB LON SCHOENENBERGER OD (OWNER)
(608) 882-4990
Entity
Organization

Contact information

Practice address
114 S MADISON ST, EVANSVILLE, WI 53536-1320
(608) 882-4990
(608) 882-3980
Mailing address
114 S MADISON ST, EVANSVILLE, WI 53536-1320
(608) 882-4990
(608) 882-3980

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2327
WI

Other

Enumeration date
10/09/2007
Last updated
09/29/2008
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