DR. Edwin Russell Wallington, O.D.

NPI #1972638724 in Lapeer, Michigan

Provider Information

NPI Number: 1972638724
Entity Type: Individual
Name: DR. Edwin Russell Wallington, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 600 S MAIN ST
City: Lapeer
State: Michigan
ZIP Code: 48446-2463
Phone: (810) 667-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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