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Individual

DR. DAVE WILLIAM WINELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
110 COSHOCTON AVE STE C, MOUNT VERNON, OH 43050-2628
(740) 392-4000
(740) 392-6379
Mailing address
110 COSHOCTON AVE STE C, MOUNT VERNON, OH 43050-2628
(740) 392-4000
(740) 392-4000

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3755-T701
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215092804
NPI GROUP CIR
OH
01
1538223417
NPI GROUP MTV
01
1609962299
NPI INDIVIDUAL
OH
01
9240821
PTAN MTV
Enumeration date
10/04/2006
Last updated
06/03/2022
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