Organization
JORGENSEN, SCHULZ AND ASSOCIATES EYECARE CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY JOHN JORGENSEN OD (PRESIDENT)
(920) 731-2020
Entity
Organization
Contact information
Practice address
1225 W NORTHLAND AVE, APPLETON, WI 54914-1416
(920) 731-2020
(920) 733-2117
Mailing address
1225 W NORTHLAND AVE, APPLETON, WI 54914-1416
(920) 731-2020
(920) 733-2117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
07/27/2011
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