JACOB ANDREW WOLDT

GREEN BAY, WI
NPI1336496355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: SD  692)
Additional Taxonomies152W00000X Optometrist
(Licence: WI  3615)
152W00000X Optometrist
(Licence: IA  002598)
Enumeration Date2012-08-09
Last Update Date2021-12-22
Business Address
DR. JACOB ANDREW WOLDT O.D.
1087 W MASON ST
GREEN BAY, WI 54303-1859
Phone number: 920-499-3102
Mailing Address
DR. JACOB ANDREW WOLDT O.D.
1087 W MASON ST
GREEN BAY, WI 54303-1859
Phone number: 920-499-3102