Individual
DR. DUANE L WIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
107 S MAIN ST, ADA, OH 45810-1240
(419) 634-2921
(419) 634-9858
Mailing address
107 S MAIN ST, ADA, OH 45810-1240
(419) 634-2921
(419) 634-9858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3756
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055775
—
OH
Enumeration date
08/16/2005
Last updated
11/05/2013
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