Anthony Jacob Brechtelsbauer, OD Valid NPI

Individual provider · Optometrist · Portage, WI

NPI

1760112973

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

4901005627 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2022-06-13

Last updated

2024-01-05