Individual
WENDY KATHLEEN CRUSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
545 HOOKSETT RD UNIT 23, MANCHESTER, NH 03104-2654
(603) 622-6333
(603) 627-4619
Mailing address
545 HOOKSETT RD, UNIT 23, MANCHESTER, NH 03104-2654
(603) 622-6333
(603) 627-4619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
840
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30358259
—
NH
Enumeration date
07/18/2010
Last updated
03/19/2020
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