Individual
JAMES FREDERICK DUSENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
825 W MORELAND BLVD, WAUKESHA, WI 53188-2963
(262) 542-9610
Mailing address
1145 WENZEL CT, JEFFERSON, WI 53549-2218
(920) 988-0431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2804-035
WI
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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