Individual
DR. WAYNE R CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4401 4TH AVE S, SEATTLE, WA 98134-2311
(206) 464-7916
Mailing address
4401 4TH AVE S, SEATTLE, WA 98134-2311
(206) 464-7916
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TX 1208
WA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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