Individual
TRENT ARTHUR SPONSELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5500 MILAN RD, SANDUSKY, OH 44870-7800
(419) 627-8878
(419) 627-9677
Mailing address
PO BOX 213, SHELBY, OH 44875-0213
(419) 347-1766
(419) 627-9677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3636/T661
OH
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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