Individual
TAYLOR MICHELLE SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
340 ALEXANDERSVILLE RD, MIAMISBURG, OH 45342-3644
(937) 866-3471
Mailing address
744 E 3RD ST, BLOOMINGTON, IN 47405-3603
(812) 855-8436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004213A
IN
Other
Enumeration date
05/28/2020
Last updated
07/29/2022
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