Individual
WADE G DULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2330 AMIDON AVE, WICHITA, KS 67204-5630
(316) 838-7797
(316) 838-7809
Mailing address
2330 AMIDON AVE, WICHITA, KS 67204-5630
(316) 838-7797
(316) 838-7809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1067-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005119
BCBS OF KANSAS
KS
01
—
P00791194
RR MEDICARE
KS
Enumeration date
11/10/2005
Last updated
04/06/2010
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