Individual
JASON JOHN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
384 S KOELLER ST, OSHKOSH, WI 54902-5546
(920) 233-3307
(920) 887-9655
Mailing address
140 CORPORATE DR, SUITE 1, BEAVER DAM, WI 53916-1281
(920) 887-9655
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
375-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41144300
—
WI
Enumeration date
10/10/2007
Last updated
04/17/2008
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