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Individual

DR. ANN T SCHLAEFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
128 W MAIN ST, CAMPBELLSPORT, WI 53010-2704
(920) 533-8426
(920) 533-8380
Mailing address
128 W MAIN ST, CAMPBELLSPORT, WI 53010-2704
(920) 533-8426
(920) 533-8380

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2518
WI
163W00000X
Registered Nurse
77393
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38586400
WI
01
410046881
RAILROAD MEDICARE
WI
01
811046
NATIONAL VISION ASSOCIATE
WI
Enumeration date
10/03/2005
Last updated
06/07/2023
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