Individual
DR. ISADORE JOHN YOUSHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
15795 W HIGH ST, MIDDLEFIELD, OH 44062
(440) 632-0194
(440) 632-0194
Mailing address
PO BOX 276, 15795 W HIGH ST, MIDDLEFIELD, OH 44062
(440) 632-0194
(440) 632-0194
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2777T980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132181
—
OH
Enumeration date
08/16/2006
Last updated
07/22/2008
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