Individual
JESSICA L ENTRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-1810
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2762-035
WI
Other
Enumeration date
07/28/2005
Last updated
09/25/2017
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