| NPI | 1164773875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY RAE HOLSOPPLE Owner 937-875-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003402) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2019-12-17 |