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HERBERT TANNER WENTZIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
341 W TUDOR RD STE 101, ANCHORAGE, AK 99503-6639
(907) 770-6652
Mailing address
397 LAKE VIEW DR NE, SOLON, IA 52333-9067
(319) 325-7576

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
133420
AK

Other

Enumeration date
06/14/2018
Last updated
06/14/2018
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