BRADLEY JORGENSEN, OD
Optometrist
Active
Individual
NPI: 1316912686
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 2008 (WI) |
Frequently Asked Questions
NPI 1316912686 is the National Provider Identifier for BRADLEY JORGENSEN, OD, a Optometrist provider located in Appleton, WI. This NPI was enumerated on February 21, 2006.
BRADLEY JORGENSEN, OD practices at 1225 W NORTHLAND AVE, Appleton, WI 54914.
Quick Facts
- NPI
- 1316912686
- Type
- Individual
- Enumerated
- Feb 21, 2006
- Last Updated
- Aug 16, 2011
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