DR. David Earl Johanknecht, OD

NPI #1114078243 in Berlin, Wisconsin

Provider Information

NPI Number: 1114078243
Entity Type: Individual
Name: DR. David Earl Johanknecht, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 269 MEMORIAL DR
Address 2: SUITE 103
City: Berlin
State: Wisconsin
ZIP Code: 54923
Phone: (920) 361-1696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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