Individual
DR. NICHOLAS PAUL WISSINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9212 N COLTON ST, SPOKANE, WA 99218-1284
(509) 464-4696
(509) 464-4698
Mailing address
9212 N COLTON ST, SPOKANE, WA 99218-1284
(509) 464-4696
(509) 464-4698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1792
WA
Other
Enumeration date
08/23/2006
Last updated
07/09/2007
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