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Wilfred Fennewald, LICENSED OPTICIAN

NPI 1093790941 · on the registry since 2005 · sole proprietor

Practice

Address
2737 Navarre Ave Ste 204
Oregon, OH 43616
Phone
(419) 693-3376
Fax
(419) 693-7519
Organisation at this address
Zakat Health
James Optical Inc.
Peter C. Johnson Md
Legacy Mobile Dentistry Llc
Mylo Jennings & Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Also registered as
156FC0801X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-28

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 Ohio