Individual
DR. FRED W SKULINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
799 N VINE ST, FOSTORIA, OH 44830
(419) 435-3323
(419) 435-7834
Mailing address
799 N VINE ST, FOSTORIA, OH 44830
(419) 435-3323
(419) 435-7834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4314
OH
152W00000X
Optometrist
T655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0921926
—
OH
Enumeration date
10/06/2006
Last updated
03/18/2008
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