| NPI | 1215008735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES BODMAN Physician/President 440-356-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36001747) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-06-17 |