| NPI | 1144626482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L. UNSDORFER Physician 330-725-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OH 36-002284) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36-002284) |
| 213ES0131X (Licence: OH 36-002284) | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |