Individual
DR. JACOB CHRISTIAN HESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1503
(262) 896-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3925-35
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252046
—
WI
Enumeration date
06/20/2023
Last updated
11/15/2023
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