Individual
DR. WENDIANNE M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4660 86TH ST, URBANDALE, IA 50322-1026
(515) 727-6340
(515) 727-5109
Mailing address
4660 86TH ST, URBANDALE, IA 50322-1026
(515) 727-6340
(515) 727-5109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2001
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3086538
—
IA
Enumeration date
09/27/2005
Last updated
02/26/2024
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