Individual
MADISON A SPRUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3510 S WESTERN AVE, MARION, IN 46953
(765) 662-6594
(765) 662-6595
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-0760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004037
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004258
—
IN
Enumeration date
06/19/2017
Last updated
08/15/2018
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