Individual
MICHAEL A COLARUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1157 S JACKSON ST, FRANKFORT, IN 46041-3310
(765) 659-2711
(765) 654-6322
Mailing address
1157 S JACKSON ST, FRANKFORT, IN 46041-3310
(765) 659-2711
(765) 654-6322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002797
IN
Other
Enumeration date
12/22/2006
Last updated
11/16/2012
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