Bradley J Jorgensen, OD

NPI #1316912686 in Appleton, Wisconsin

Provider Information

NPI Number: 1316912686
Entity Type: Individual
Name: Bradley J Jorgensen, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 21, 2006
Last Updated: Aug 16, 2011

Practice Location

Address: 1225 W NORTHLAND AVE
City: Appleton
State: Wisconsin
ZIP Code: 54914-1416
Phone: (920) 731-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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