Organization
MICHAEL J WOLOSCHAK OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J WOLOSCHAK O.D. (OWNER)
(330) 799-3937
Entity
Organization
Contact information
Practice address
2670 S RACCOON RD, SUITE #1, YOUNGSTOWN, OH 44515-5380
(330) 799-3937
(330) 799-1557
Mailing address
2670 S RACCOON RD, SUITE #1, YOUNGSTOWN, OH 44515-5380
(330) 799-3937
(330) 799-1557
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000142252
ANTHEM
—
05
—
0560576
—
OH
01
—
118090
EYEMED
—
01
—
2200637
UNITED HEALTHCARE
—
01
—
289440488009
MEDICAL MUTUAL
—
01
—
410047096
RAILROAD MEDICARE
—
01
—
53992
UNISON
—
Enumeration date
11/21/2007
Last updated
04/23/2008
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