Individual
DR. THOMAS JONATHAN WAELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3051 CAHILL MAIN, FITCHBURG, WI 53711-7109
(608) 661-7200
Mailing address
4773 N CRAMER ST, MILWAUKEE, WI 53211-1228
(414) 339-4265
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3421-35
WI
Other
Enumeration date
06/29/2016
Last updated
12/10/2018
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