Individual
DANIEL JAMES WIESSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
614 E ALDER ST, STE 1, WALLA WALLA, WA 99362-2073
(509) 529-9660
Mailing address
614 E ALDER ST, STE 1, WALLA WALLA, WA 99362-2073
(509) 529-9660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60497198
WA
Other
Enumeration date
11/14/2011
Last updated
09/15/2014
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