| NPI | 1124223532 |
|---|---|
| Doing Business As | FAIRVIEW PODIATRY CLINIC |
| Entity Type | Organization |
| Authorized Contact | STANLEY A LUKSENBURG Owner 440-356-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36002120) |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2008-06-24 |