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Anthony Michael Prusinski, O.D.

Optometrist in Mansfield, OH. Individual provider (NPI-1).

NPI number1457375511
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1457375511
Entity type
Individual (NPI-1)
Name
Anthony Michael Prusinski
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 26, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist4978OHYes

Practice location

2214 Richland Mall
Mansfield, OH 44906-1249

Phone 419-529-5770

Mailing address

5440 Brook Run Dr
Medina, OH 44256-6442

Phone 330-725-7618

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