Wendy Sanders-maubach,o.d., P.c.

NPI 1073796579 - Optometrist - 152W00000X

NPI Details
NPI 1073796579
Enumeration Date 12/07/2007
Last Updated 10/01/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WENDY WENDY
Position PRESIDENT
Phone (815) 223-0331
Fax (815) 223-6723
Practice Location
641 1ST ST
LA SALLE IL, 61301-2418, US
Phone (815) 223-0331
Fax (815) 223-6723
Business Location
641 1ST ST
LA SALLE IL, 61301-2418, US
Phone (815) 223-0331
Fax (815) 223-6723
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 060-009493
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According to our database, Wendy Sanders-maubach,o.d., P.c. NPI is 1073796579, taxonomy code is 152W00000X and license number is 060-009493, license state is located at Illinois. Wendy Sanders-maubach,o.d., P.c. physically located at 641 1st St, La Salle IL, 61301-2418. NPI Number 1033115704 has the healthcare provider type.

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1073796579 NPI number is provided on an as is basis without warranty of any kind. 1073796579 is maintained by the National Plan & Provider Enumeration System. The contents of Wendy Sanders-maubach,o.d., P.c. are for informational purposes only.