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Individual

DR. NICHOLAS JAMES WENANDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
305 N SANBORN BLVD, MITCHELL, SD 57301-2449
(605) 996-2537
(605) 996-0500
Mailing address
305 N SANBORN BLVD, MITCHELL, SD 57301-2449
(605) 996-2537
(605) 996-0500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
717
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
717
STATE LICENSE
SD
Enumeration date
08/31/2015
Last updated
11/10/2022
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