Pamela M Wise, OD

NPI #1700863321 in Mishawaka, Indiana

Provider Information

NPI Number
1700863321
Entity Type
Individual
Name
Pamela M Wise, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Dec 23, 2005
Last Updated
Mar 21, 2013

Practice Location

Address
230 E DAY RD
Address 2
100
State
Indiana
ZIP Code
46545-3408
Phone
(574) 271-3939

Specialties & Taxonomy Codes

Specialty
Optometrist

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