Gregory Sasarak INC

NPI #1710239991 in Elyria, Ohio

Provider Information

NPI Number: 1710239991
Entity Type: Organization
Organization Name: Gregory Sasarak INC
Primary Specialty: Clinic/Center
Enumeration Date: Oct 11, 2012
Last Updated: Oct 30, 2012

Practice Location

Address: 280 S LOGAN ST
City: Elyria
State: Ohio
ZIP Code: 44035-6224
Phone: (440) 365-9311

Authorized Official

Name: DR. GREGORY S SASARAK, O.D.
Title: OWNER
Phone: (440) 365-9311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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