Individual
DR. WES K IMMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O,D,
Contact information
Practice address
5700 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4140
(440) 988-4040
Mailing address
5700 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6130
OH
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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