Individual
STACY PASCH RELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2311 HAYES AVE, FREMONT, OH 43420-2634
(419) 334-8121
(419) 332-9351
Mailing address
2311 HAYES AVE, FREMONT, OH 43420-2634
(419) 334-8121
(419) 332-9351
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4960
OH
152W00000X
Optometrist
Primary
OH4960
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2321875
—
OH
Enumeration date
11/08/2006
Last updated
01/29/2020
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