Individual
BRENDA J. WAHL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8103 CLEARVISTA PKWY, SUITE 240, INDIANAPOLIS, IN 46256-5628
(317) 845-9488
(317) 570-7433
Mailing address
8103 CLEARVISTA PKWY, SUITE 240, INDIANAPOLIS, IN 46256-5628
(317) 845-9488
(317) 570-7433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003015A
IN
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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