Individual
DR. WILLIAM C LOUDENSLAGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5164 CHILDRENS HOME RD, GREENVILLE, OH 45331-9327
(937) 548-7811
(937) 547-0672
Mailing address
5164 CHILDRENS HOME RD, GREENVILLE, OH 45331-9327
(937) 548-7811
(937) 547-0672
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2709/T1249
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0726870001
DMERC SUPPLIER
OH
05
—
5292884
—
OH
Enumeration date
03/02/2006
Last updated
07/08/2007
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