Wayne Alan Halstrom, O.D.

NPI #1881751501 in Newark, California

Provider Information

NPI Number
1881751501
Entity Type
Individual
Name
Wayne Alan Halstrom, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jan 2, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1123 NEWPARK MALL
City
Newark
ZIP Code
94560-5246
Phone
(510) 791-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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