Individual
DR. SAMANTHA CZERNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2575 E EVERGREEN DRIVE, APPLETON, WI 54913-8910
(920) 969-5353
(414) 337-7201
Mailing address
2575 E EVERGREEN DRIVE, APPLETON, WI 54913-8910
(920) 969-5353
(414) 337-7201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3819
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700484003
—
WI
Enumeration date
10/09/2020
Last updated
09/11/2023
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