Individual
DR. VICTORIA L WOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6310 SASHABAW RD STE B, CLARKSTON, MI 48346-2270
(248) 922-7744
Mailing address
6310 SASHABAW RD STE B, CLARKSTON, MI 48346-2270
(248) 922-7744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2007032814
MO
152W00000X
Optometrist
Primary
4901003848
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314607300
—
MO
Enumeration date
04/02/2007
Last updated
07/25/2024
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