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Individual

DR. STEPHEN MATTHEW WETICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250
Mailing address
5350 POPLAR AVE, SUITE 950, MEMPHIS, TN 38119-3699
(901) 683-4600
(901) 683-8401

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2821
TN

Other

Enumeration date
11/03/2008
Last updated
02/21/2019
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