Individual
DR. HARRY WALTER WIESSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
614 E ALDER ST, SUITE #1, WALLA WALLA, WA 99362-2073
(509) 527-3937
(509) 529-4750
Mailing address
614 E ALDER ST, SUITE #1, WALLA WALLA, WA 99362-2073
(509) 527-3937
(509) 529-4750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001578
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300036
—
WA
01
—
G8900643
PTAN
WA
Enumeration date
08/23/2005
Last updated
05/10/2016
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