DR. Douglas J Wine, OD

NPI #1376643445 in Saint Marys, Ohio

Provider Information

NPI Number: 1376643445
Entity Type: Individual
Name: DR. Douglas J Wine, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 25, 2006
Last Updated: Sep 29, 2010

Practice Location

Address: 140 W SPRING ST
City: Saint Marys
State: Ohio
ZIP Code: 45885-2312
Phone: (419) 394-2397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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