DR. Jason Gospodarek, OD

NPI #1821086455 in Oneida, Wisconsin

Provider Information

NPI Number: 1821086455
Entity Type: Individual
Name: DR. Jason Gospodarek, OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 7, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 525 AIRPORT DR
City: Oneida
State: Wisconsin
ZIP Code: 54155-9035
Phone: (920) 869-2711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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