Whalio Doctors

NPI 1124135660

Glen R Kohlhagen, OD

Practitioner Optometrist Sheboygan, WI

Practice location

Address
2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone
(920) 457-4461
Fax
(920) 459-1483
Mailing address
3301 W Forest Home Ave, Milwaukee, WI 53215-2843

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2276-035 (WI)

Registry record

NPI
1124135660
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Aug 2006
Record last updated
7 Mar 2023

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.