| NPI | 1043221237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ELLIS DONAHUE Owner/President 216-459-8616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36002283) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 36002283) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-02-18 |