ETHAN WOHLGEMUTH, OD
Optometrist
Active
Individual
NPI: 1104506419
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 3249 (OK) |
Frequently Asked Questions
NPI 1104506419 is the National Provider Identifier for ETHAN WOHLGEMUTH, OD, a Optometrist provider located in Tahlequah, OK. This NPI was enumerated on July 20, 2023.
ETHAN WOHLGEMUTH, OD practices at 1001 N GRAND AVE, Tahlequah, OK 74464.
Quick Facts
- NPI
- 1104506419
- Type
- Individual
- Enumerated
- Jul 20, 2023
- Last Updated
- Jul 20, 2023
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