Individual
MRS. LIANE MARIE WILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
107 S MAIN ST, ADA, OH 45810-1240
(419) 634-2921
(419) 634-9858
Mailing address
730 PARKVIEW DR, FINDLAY, OH 45840-8639
(419) 420-7661
(419) 634-9858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5442
OH
Other
Enumeration date
02/03/2007
Last updated
09/08/2011
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