MIKEL ROBERT WEIDEMAN

LANDER, WY
NPI1952464604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: WY  134T)
Enumeration Date2006-12-17
Last Update Date2020-05-07
Business Address
MIKEL ROBERT WEIDEMAN O.D.
556 MAIN ST
LANDER, WY 82520-3032
Phone number: 307-332-2020
Mailing Address
MIKEL ROBERT WEIDEMAN O.D.
556 MAIN ST
LANDER, WY 82520-3032
Phone number: 307-332-2020