Wenny Tan, O.D.

NPI #1114309051 in Annapolis, Maryland

Provider Information

NPI Number: 1114309051
Entity Type: Individual
Name: Wenny Tan, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 28, 2015
Last Updated: Jun 28, 2015

Practice Location

Address: 1505 ANNAPOLIS MALL
City: Annapolis
State: Maryland
ZIP Code: 21401-3090
Phone: (410) 573-2095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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