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Todd Wild, OD
NPI 1992737704 · on the registry since 2006 · sole proprietor
Practice
- Address
- 415 E Ann St
Weyauwega, WI 54983 - Phone
- (920) 867-3131
- Fax
- (920) 867-3408
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-30
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin