Individual
DR. JACOB L SCHOENENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
114 SOUTH MADISON ST, EVANSVILLE, WI 53536-1320
(608) 882-4990
(608) 882-3980
Mailing address
114 SOUTH MADISON ST, EVANSVILLE, WI 53536-1320
(608) 882-4990
(608) 882-3980
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2327
WI
152W00000X
Optometrist
Primary
2327035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38578400
—
WI
Enumeration date
10/17/2005
Last updated
11/14/2012
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