Individual
DR. MARY F GANSARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2600 OLD ROUTE 220 N, ALTOONA, PA 16601-9328
(814) 944-9888
(814) 949-8993
Mailing address
128 LAYTON LN, JOHNSTOWN, PA 15904-4018
(814) 269-2157
(814) 949-8993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OET-008941
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070878370002
—
PA
Enumeration date
09/17/2006
Last updated
07/08/2007
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