JACOB A KOZISEK

GREEN BAY, WI
NPI1306075635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WI  3173)
Enumeration Date2009-07-08
Last Update Date2024-04-09
Business Address
JACOB A KOZISEK OD
2253 W MASON ST
GREEN BAY, WI 54303-4706
Phone number: 920-327-7000
Mailing Address
JACOB A KOZISEK OD
1035 KEPLER DR
GREEN BAY, WI 54311-8320
Phone number: 920-490-9046