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Individual

DR. JOHN ANTHONY KRUSZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3723 KING RD, SUITE100, TOLEDO, OH 43617-1417
(419) 843-2020
(419) 843-8733
Mailing address
3723 KING RD, TOLEDO, OH 43617-1417
(419) 843-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3869
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000137598
ANTHEM
OH
01
03067
PARAMOUNT
OH
01
0580690001
DMERC
OH
05
0814793
OH
01
22-00959
UNITED HEALTH CARE
OH
01
900E86700
BCBS OF MICHIGAN
OH
Enumeration date
08/13/2005
Last updated
10/31/2008
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