| NPI | 1184896383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHERINE BENJAMIN-SWONGER Podiatrist/Owner President 419-586-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36 002772) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2011-06-09 |