MR. George K Wiegold, OPTICIAN

NPI #1669693628 in Lake Forest, Illinois

Provider Information

NPI Number
1669693628
Entity Type
Individual
Name
MR. George K Wiegold, OPTICIAN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Credential
OPTICIAN
Enumeration Date
May 1, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
224 E WESTMINSTER RD
ZIP Code
60045-1840
Phone
(847) 295-3290

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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