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
ZIP Code
42701-7102
Phone
(270) 769-3708

Specialties & Taxonomy Codes

Specialty
Optometrist

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