NPI 1568724391

Thaddeus Mark Wontor, OD

Practitioner Optometrist Platteville, WI

Practice location

Address: 1450 Eastside Rd, Platteville, WI 53818-9800
Phone: (608) 348-2330

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3262-35 (WI)

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Registry record

NPI: 1568724391
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2012
Record last updated: 27 Nov 2020

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.