Individual
DR. TONY SHAUN WAGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O,D.
Contact information
Practice address
1537 S SCATTERFIELD RD, SUITE #2, ANDERSON, IN 46016-5766
(765) 649-1200
Mailing address
12609 VALHALLA LN, FISHERS, IN 46037-7543
(812) 295-7124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003430A
IN
Other
Enumeration date
03/22/2007
Last updated
09/10/2012
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