| NPI | 1144936477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CHRISTOPHER ANDERSON Physician/Owner 216-509-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-31 |