| NPI | 1063607471 |
|---|---|
| Doing Business As | WAYNEDALE FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | DENNIS JOHN CHUBINSKI Owner/Operator 260-747-5572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000406A) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |