Individual
MRS. ANN MARIE WONDERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3424 MORMON COULEE RD, STE A, LACROSSE, WI 54601
(608) 788-4300
(608) 788-4325
Mailing address
3424 MORMON COULEE RD, STE A, LACROSSE, WI 54601-6750
(608) 788-4300
(608) 788-4325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2949035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38622800
—
WI
Enumeration date
02/28/2006
Last updated
01/09/2017
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