Individual
MRS. AMANDA ADELINE WONDERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
700 HALE ST, WISCONSIN RAPIDS, WI 54495-2787
(800) 872-8662
(608) 374-8205
Mailing address
700 HALE ST, WISCONSIN RAPIDS, WI 54495-2787
(800) 872-8662
(608) 374-8205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3283
MN
Other
Enumeration date
07/10/2012
Last updated
03/08/2023
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