Whalio Doctors

NPI 1063597011

Shawn Allen Stoffregen, OD

Practitioner Optometrist La Crosse, WI

Practice location

Address
3800 State Road 16 Suite 146, La Crosse, WI 54601-1826
Phone
(608) 781-8866
Mailing address
18186 Icicle Rd, Sparta, WI 54656-4405

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2396 (WI)

Registry record

NPI
1063597011
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Oct 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.