NPI 1124047014

David Bruce Woehlke, OD

Practitioner Optometrist Glen Burnie, MD

Practice location

Address: 6718 a Ritchie Highway, Glen Burnie, MD 21061
Phone: (410) 768-6101
Fax: (410) 768-4682
Mailing address: 211 Copperwood CT, Millersville, MD 21108-2700

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TA0872 (MD)

Other Optometrist providers in Maryland →

Registry record

NPI: 1124047014
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.