Individual
DOUGLAS DEAN WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3101 W 57TH ST, SIOUX FALLS, SD 57108-3162
(605) 361-3937
(605) 371-7199
Mailing address
3101 W 57TH ST, SIOUX FALLS, SD 57108-3162
(605) 371-7100
(605) 371-7199
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
525
SD
Other
Enumeration date
06/24/2005
Last updated
05/21/2024
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