Individual
JANSON A MANCHESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1244 E GREEN BAY ST, JANSON MANCHESKI OD, SHAWANO, WI 54166-2208
(715) 526-2376
(715) 526-9561
Mailing address
1244 E GREEN BAY ST, JANSON MANCHESKI OD, SHAWANO, WI 54166-2208
(715) 526-2376
(715) 526-9561
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1750
WI
152W00000X
Optometrist
Primary
WI1750
WI
Other
Enumeration date
10/24/2006
Last updated
11/05/2009
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