DR. Mark Edward Wiedenfeld, O.D.

NPI #1801817689 in Lufkin, Texas

Provider Information

NPI Number
1801817689
Entity Type
Individual
Name
DR. Mark Edward Wiedenfeld, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jul 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
905 S JOHN REDDITT DR
City
Lufkin
State
Texas
ZIP Code
75904-4326
Phone
(936) 634-4913

Specialties & Taxonomy Codes

Specialty
Optometrist

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