Organization
JOHN W. SCHAEFER, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W. SCHAEFER O.D. (OWNER)
(608) 847-6264
Entity
Organization
Contact information
Practice address
205 DIVISION ST., MAUSTON, WI 53948-2109
(608) 847-6264
(608) 847-7279
Mailing address
205 DIVISION ST., MAUSTON, WI 53948-2109
(608) 847-6264
(608) 847-7279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1761
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38516200
—
WI
Enumeration date
05/01/2008
Last updated
09/23/2008
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