DR. Teresa Ann Wise, OD
NPI #1114076288 in Elizabethtown, Kentucky
Provider Information
- NPI Number
- 1114076288
- Entity Type
- Individual
- Name
- DR. Teresa Ann Wise, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Jan 9, 2007
- Last Updated
- May 13, 2008
Practice Location
- Address
- 2904 DOLPHIN DR
- City
- Elizabethtown
- State
- Kentucky
- ZIP Code
- 42701-7102
- Phone
- (270) 769-3708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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