Individual
ANDREW M JOSEPHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
250 N 18TH AVE, SUITE 105, MONROE, WI 53566-1482
(920) 216-3133
Mailing address
250 N 18TH AVE STE 105, MONROE, WI 53566-1482
(608) 325-7200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3082-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38631700
—
WI
Enumeration date
06/29/2007
Last updated
09/16/2020
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