NPI | 1265499081 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN CERIMELE Billing Department 330-758-4515 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: OH OH-36002732B) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2007-10-03 |