| NPI | 1023286671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RENEE' FONAGY Office Manager 330-369-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003410) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2011-08-16 |