Individual
DR. BRIAN HENRY WOLANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5065 MAIN ST # 1140, TRUMBULL, CT 06611-4204
(203) 374-3211
(203) 374-9344
Mailing address
323 FAIRFIELD AVE APT 107, BRIDGEPORT, CT 06604-4295
(614) 381-1331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1773
SC
152W00000X
Optometrist
Primary
2904
CT
Other
Enumeration date
07/10/2013
Last updated
06/10/2016
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