Wonderling, Ann Marie
Wonderling, Ann Marie is an individual health care provider with primary practice located at 3424 Mormon Coulee Rd Ste A, Lacrosse WI 54601. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wonderling, Ann Marie can be contacted via phone (608) 788-4300.Contact Information
Primary practice address
3424 Mormon Coulee Rd Ste A
Lacrosse WI 54601
Phone: (608) 788-4300
Fax: (608) 788-4325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2949035 | Wisconsin |
Profile Details
| NPI number | 1154397024 |
|---|---|
| LBN Legal business name | Wonderling, Ann Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jan 9th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154397024 | NPPES |
| Wisconsin | MEDICAID | 38622800 |
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