CODY DONALD SPONHOLZ

GENEVA, NY
NPI1134795685
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  027251)
Enumeration Date2021-06-03
Last Update Date2021-11-22
Business Address
Mr. CODY DONALD SPONHOLZ
875 PRE EMPTION RD
GENEVA, NY 14456-2042
Phone number: 315-789-5061
Mailing Address
Mr. CODY DONALD SPONHOLZ
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 315-789-5061