Duane J Wallaker Od

NPI #1487649489 in Austin, Minnesota

Provider Information

NPI Number: 1487649489
Entity Type: Organization
Organization Name: Duane J Wallaker Od
Primary Specialty: Optometrist
Enumeration Date: Sep 15, 2005
Last Updated: Mar 31, 2008

Practice Location

Address: 510 W OAKLAND AVE
Address 2: BOX 524
City: Austin
State: Minnesota
ZIP Code: 55912-2314
Phone: (507) 437-4524

Authorized Official

Name: DR. DUANE J WALLAKER, OD
Title: OWNER
Phone: (507) 437-4524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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