Individual
DR. TODD ROBERT WOLLBRINCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 JUNCTION DR, GLEN CARBON, IL 62034-4323
(618) 659-1870
(618) 659-1872
Mailing address
7254 GRAVOIS AVE, SAINT LOUIS, MO 63116-1041
(314) 353-1089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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