Jerry Paul Stern OD

NPI 1609926567 - Optometrist - 152W00000X

NPI Details
NPI 1609926567
Gender Male
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1001 MADISON AVE
SOUTH MILWAUKEE WI, 53172-2500, US
Phone (414) 764-3260
Fax (414) 764-3260
Business Location
5552 BIRCH VIEW RD
RACINE WI, 53402-1914, US
Phone (262) 639-9701
Fax (262) 752-9933
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 1361
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According to our database, Dr. Jerry Paul Stern OD NPI is 1609926567, taxonomy code is 152W00000X and license number is 1361, license state is located at Wisconsin. Jerry Paul Stern OD physically located at 1001 Madison Ave, South Milwaukee WI, 53172-2500. NPI Number Jerry Paul Stern OD has the Individual type.

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1609926567 NPI number is provided on an as is basis without warranty of any kind. 1609926567 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Paul Stern OD are for informational purposes only.