Individual
NOAH WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W 2ND ST, SEYMOUR, IN 47274-2148
(812) 523-6100
Mailing address
300 W 2ND ST, SEYMOUR, IN 47274-2148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003989A
IN
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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