Individual
NATHAN T SCHLOTTHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8938
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3437-35
WI
152W00000X
Optometrist
4901004654
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790064947
—
WI
Enumeration date
08/05/2011
Last updated
12/08/2020
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