THEODORE M WANDZILAK

LOUISVILLE, KY
NPI1013909753
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207W00000X Ophthalmology
(Licence: KY  22152)
Enumeration Date2005-08-18
Last Update Date2008-01-09
Business Address
-- THEODORE M WANDZILAK MD
1348 POPLAR LEVEL RD
LOUISVILLE, KY 40217-1307
Phone number: 502-634-8100
Mailing Address
-- THEODORE M WANDZILAK MD
1348 POPLAR LEVEL RD
LOUISVILLE, KY 40217-1307
Phone number: 502-634-8100