Individual
JEFFREY E CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1837 LAFAYETTE ST, JANESVILLE, WI 53546-2860
(608) 756-0728
(608) 756-0782
Mailing address
16800 WEST CLEVELAND AVE, NEW BERLIN, WI 53151-3533
(262) 432-2005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2575-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38605400
—
WI
01
—
WI2575
EYEMED VISION NO.
—
Enumeration date
08/26/2006
Last updated
12/21/2007
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