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Organization
MARTIN B. GRESAK , O.D.
Active
Organization
MARTIN B. GRESAK , O.D.
Active
Other names
family vision clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN B GRESAK OD (OWNER)
(304) 599-2828
Entity
Organization
Contact information
Practice address
301 JEFFERSON AVE, MOUNDSVILLE, WV 26041-1639
(304) 845-2590
Mailing address
301 JEFFERSON AVE, MOUNDSVILLE, WV 26041
(304) 845-2590
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
748-OD
WV
Other
Enumeration date
09/25/2007
Last updated
01/08/2008
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