| NPI | 1083971659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA R KRYWIAK Sole Member 440-376-8523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OH 36.003526) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2020-06-09 |