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Jay Paunovich
Optician in Wauwatosa, Wisconsin
NPI 1306019252

Jay Paunovich is a Optician based in Wauwatosa, WI and is specialized in Optician. Jay Paunovich practices in Wauwatosa, WI. The NPI Number for Jay Paunovich is 1306019252 and holds a License No. (Wisconsin).

The current practice location address for Jay Paunovich is 6012 W North Ave, Wauwatosa, WI and can be reached out via phone at 414-453-6500.

Location: 6012 W North Ave, Wauwatosa, WI, 53213-1528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306019252
Provider Name
Jay Paunovich
Credential
Provider Entity Type
Individual
Gender
Male
Address
6012 W North Ave, Wauwatosa, WI, 53213-1528
Phone Number
414-453-6500
Fax Number
Provider Enumeration Date
04/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38452600 05 WI
institution
Provider Business Practice Location Address Details
Address
6012 W North Ave
City
Wauwatosa
State
Wisconsin
Zip
53213-1528
Phone Number
414-453-6500
Fax Number
person
Provider Business Mailing Address Details
Address
6012 W North Ave
City
Wauwatosa
State
Wisconsin
Zip
53213-1528
Phone Number
414-453-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
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