Individual
MAX MALCOLM WILLIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6946 FOREST AVE, RICHMOND, VA 23230-1706
(804) 287-2020
(804) 282-4048
Mailing address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
(804) 282-4048
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
009891
NY
152W00000X
Optometrist
Primary
0618003397
VA
Other
Enumeration date
08/10/2023
Last updated
10/14/2024
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