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Individual

DR. EDWIN RUSSELL WALLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
600 S MAIN ST, LAPEER, MI 48446-2463
(810) 667-4777
(810) 667-4770
Mailing address
265 MEADOWVIEW DR, ATTICA, MI 48412-9627
(810) 667-4194

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003847
MI

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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