Individual
DR. JONATHAN GEORGE MENOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
115 ALPINE CT, SHAWANO, WI 54166-2048
(715) 526-3163
Mailing address
1255 APPLETON RD, MENASHA, WI 54952-1501
(920) 722-6872
(920) 722-6335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3378-35
WI
Other
Enumeration date
06/09/2015
Last updated
11/07/2016
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