Organization
MICHAEL A COLARUSSO, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A COLARUSSO OD (OWNER)
(765) 659-2711
Entity
Organization
Contact information
Practice address
1157 S JACKSON ST, FRANKFORT, IN 46041-3310
(765) 659-2711
(765) 654-6322
Mailing address
1157 S JACKSON ST, FRANKFORT, IN 46041-3310
(765) 659-2711
(765) 654-6322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002797B
IN
Other
Enumeration date
01/24/2012
Last updated
11/15/2012
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