Individual
ANNA NICOLE KNEIERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3341 8TH ST S, WISCONSIN RAPIDS, WI 54494-6566
(715) 423-5353
Mailing address
3616 COVENTRY DR, JANESVILLE, WI 53546-9665
(608) 751-5038
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3922-35
WI
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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