Individual
DR. MASON RONALD WILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3003 32ND AVE S, SUITE 8, FARGO, ND 58103-6163
(701) 293-8101
(701) 293-7998
Mailing address
3003 32ND AVE S, SUITE 8, FARGO, ND 58103-6163
(701) 293-8101
(701) 293-7998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
661
ND
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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