Individual
DR. MARK WILLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5135 N DIXIE DR, DAYTON, OH 45414-3944
(937) 277-9991
(937) 277-9719
Mailing address
5135 N DIXIE DR, DAYTON, OH 45414-3944
(937) 277-9991
(937) 277-9719
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
176855
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0711895
—
OH
Enumeration date
07/13/2006
Last updated
10/04/2011
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