Individual
DR. DAVID GLENN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2015042988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720207178
—
MO
01
—
172200015
MEDICARE
MO
Enumeration date
04/24/2007
Last updated
02/19/2018
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