Individual
ANTHONY MICHAEL PRUSINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2214 RICHLAND MALL, MANSFIELD, OH 44906-1249
(419) 529-5770
Mailing address
5440 BROOK RUN DR, MEDINA, OH 44256-6442
(330) 725-7618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4978
OH
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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