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Individual

AUSTIN L SANEHOLTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1021 SANDUSKY ST STE E, PERRYSBURG, OH 43551-3201
(419) 874-3661
(419) 872-5195
Mailing address
152 W SOUTH BOUNDARY ST, PERRYSBURG, OH 43551-1754
(419) 874-3661
(419) 872-5195

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5820 T2734
OH
152W00000X
Optometrist
OPC4380
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3126254
OH
Enumeration date
09/08/2008
Last updated
09/25/2023
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