Individual
DR. SHARNA ANNISE WILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8309 N KNOXVILLE AVE STE 1, PEORIA, IL 61615-2171
(309) 713-3664
Mailing address
8309 N KNOXVILLE AVE, PEORIA, IL 61615-2170
(309) 693-9540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009490
IL
Other
Enumeration date
07/03/2008
Last updated
04/18/2018
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