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Individual

DR. JERRY PAUL STERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1001 MADISON AVE, SOUTH MILWAUKEE, WI 53172-2500
(414) 764-3260
(414) 764-3260
Mailing address
5552 BIRCH VIEW RD, RACINE, WI 53402-1914
(262) 639-9701
(262) 752-9933

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1361
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38537800
WI
Enumeration date
01/11/2007
Last updated
07/08/2007
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