Individual
DR. MARK F WAHLMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1018 MAIN AVE, GOODLAND, KS 67735-2943
(785) 899-3654
(785) 899-3308
Mailing address
PO BOX 687, COLBY, KS 67701
(785) 462-8231
(785) 462-2307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1587
KS
152W00000X
Optometrist
2677
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100369640A
—
KS
01
—
410044445
RAILROAD MEDICARE
KS
Enumeration date
02/22/2006
Last updated
05/11/2018
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