Individual
THADDEUS MARK WONTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2330
Mailing address
1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3262-35
WI
Other
Enumeration date
06/07/2012
Last updated
11/27/2020
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