| NPI | 1457371254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ELLIS DONAHUE President /Owner 216-459-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 36002283) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-02-18 |