NPI | 1154031441 |
---|---|
Entity Type | Organization |
Authorized Contact | NICKOLAS A MINNIE Medical Director 513-844-8585 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 363A00000X Physician Assistant |
208D00000X General Practice | |
213E00000X Podiatrist | |
213ES0131X | |
Enumeration Date | 2022-11-29 |
Last Update Date | 2025-05-17 |