Individual
DR. DAWN DACHELET WILCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1105 CHRISTINE AVE, ANNISTON, AL 36207-4657
(256) 236-0300
(256) 236-0324
Mailing address
PO BOX 697, ANNISTON, AL 36202-0697
(256) 236-0300
(256) 236-0324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-A59-TA-624
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051554101
—
AL
01
—
51517771
BCBS OF ALABAMA
AL
Enumeration date
05/04/2006
Last updated
01/31/2008
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