| NPI | 1295753267 |
|---|---|
| Other Name | UNIVERSITY PARK PODIATRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SALCEDO Owner 574-271-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000626A) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IN 07000626A) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-12-11 |