Individual
DR. JOSEPH JOHN SOWANSKY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16039 CONNEAUT LAKE RD, SUITE 107, MEADVILLE, PA 16335-3859
(814) 337-2304
Mailing address
16039 CONNEAUT LAKE RD, SUITE 107, MEADVILLE, PA 16335-3859
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG - 002166
PA
152W00000X
Optometrist
OET-008777
PA
Other
Enumeration date
07/14/2006
Last updated
10/03/2009
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