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Individual

DR. ROBERT MARK WLODEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9895 S MARYLAND PKWY, SUITE D, LAS VEGAS, NV 89183-7165
(702) 435-3937
(702) 436-3937
Mailing address
245 ELKINS CIR, HENDERSON, NV 89074-5369
(702) 436-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
421
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002502054
NV
Enumeration date
11/01/2006
Last updated
02/14/2008
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