Individual
DR. MARK W WELLNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1201 GREELEY AVE N # 3, GLENCOE, MN 55336-2135
(320) 864-2020
(320) 864-6678
Mailing address
330 MONROE ST NE, APT 2, MINNEAPOLIS, MN 55413-2364
(608) 658-1571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3209
MN
Other
Enumeration date
08/26/2010
Last updated
03/11/2019
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