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Individual

MARK WEDEKIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2040 148TH AVE NE, REDMOND, WA 98052-5527
(425) 641-9202
Mailing address
2040 148TH AVE NE, REDMOND, WA 98052-5527
(425) 641-9202

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001576
WA

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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