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Individual

KATRINA M ANDERSON SCHALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2825 HUNTERS TRL LOWR LEVEL, PORTAGE, WI 53901-3429
(608) 742-5522
(608) 745-3054
Mailing address
2825 HUNTERS TRL LOWR LEVEL, PORTAGE, WI 53901-3429
(608) 742-5522
(608) 745-3054

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2983-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902850977
WI
Enumeration date
05/22/2006
Last updated
10/28/2020
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