Douglas Mark Wilson, OD

NPI #1235199126 in Rutland, Vermont

Provider Information

NPI Number: 1235199126
Entity Type: Individual
Name: Douglas Mark Wilson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 24, 2006
Last Updated: Sep 26, 2013

Practice Location

Address: 71 ALLEN ST
Address 2: STE 201
City: Rutland
State: Vermont
ZIP Code: 05701
Phone: (802) 775-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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