Individual
BRADLEE G WOLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
106 E 2ND ST, WINONA, MN 55987-3410
(507) 454-4640
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2225
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38629500
—
WI
Enumeration date
05/19/2006
Last updated
02/04/2016
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