Individual
DR. JOHN ANTHONY KRUSZEWSKI
Active
Individual
DR. JOHN ANTHONY KRUSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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