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Individual

CORY A SPRINGSTROH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
240 CORPORATE DRIVE, BEAVER DAM, WI 53916-3115
(920) 887-1151
(920) 887-3353
Mailing address
240 CORPORATE DRIVE, BEAVER DAM, WI 53916-3115
(920) 887-1151
(920) 887-3353

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3183-35
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3183-35
STATE LICENSE
WI
Enumeration date
07/08/2010
Last updated
01/16/2023
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