ERIC LEE BALTHASER

SANDUSKY, OH
NPI1184770281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OH  5370T2281)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
-- ERIC LEE BALTHASER OD
4920 MILAN RD
SANDUSKY, OH 44870
Phone number: 419-624-0456
Mailing Address
-- ERIC LEE BALTHASER OD
140 MACOMB
MT CLEMENS, MI 48043
Phone number: 586-468-7370