Individual
BARRETT WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369-9410
(717) 873-5019
Mailing address
770 SUNLIGHT DR, YORK, PA 17402-9217
(717) 873-5019
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3776
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3776
OPTOMETRY
MN
Enumeration date
05/10/2020
Last updated
02/03/2023
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