Ethan David Wohlgemuth, OD

NPI #1104506419 in Tahlequah, Oklahoma

Provider Information

NPI Number
1104506419
Entity Type
Individual
Name
Ethan David Wohlgemuth, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jul 20, 2023
Last Updated
Jul 20, 2023

Practice Location

Address
1001 N GRAND AVE
ZIP Code
74464-7017
Phone
(918) 444-4031

Specialties & Taxonomy Codes

Specialty
Optometrist

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