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Individual

DR. WENDY MARSHTOOTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S594TA164
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000059987
AL
05
01001763
MS
05
1586277
LA
01
51059987
BCBS
AL
01
T68976
VIVA HEALTH
AL
Enumeration date
08/05/2006
Last updated
07/13/2011
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