MR. Jonathan David Wiebold, L.D.O.

NPI #1598881393 in Gainesville, Florida

Provider Information

NPI Number
1598881393
Entity Type
Individual
Name
MR. Jonathan David Wiebold, L.D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Credential
L.D.O.
Enumeration Date
Mar 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
706 NW 23RD AVE
State
Florida
ZIP Code
32609-8524
Phone
(352) 367-0077

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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