| NPI | 1376642181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY E. NUMRICH President 937-472-0102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OH 1962-OH) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2013-03-28 |