Individual
DR. STEPHEN KING WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
322 N DETROIT ST, XENIA, OH 45385-2233
(937) 376-4055
(937) 376-3969
Mailing address
322 N DETROIT ST, XENIA, OH 45385-2233
(937) 376-4055
(937) 376-3969
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245425
—
OH
05
—
2630139
—
OH
05
—
2630166
—
OH
Enumeration date
07/31/2006
Last updated
11/27/2007
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