MRS. Liane Marie Wilt, O.D.

NPI #1780722389 in Ada, Ohio

Provider Information

NPI Number: 1780722389
Entity Type: Individual
Name: MRS. Liane Marie Wilt, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 3, 2007
Last Updated: Sep 8, 2011

Practice Location

Address: 107 S MAIN ST
City: Ada
State: Ohio
ZIP Code: 45810-1240
Phone: (419) 634-2921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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