| NPI | 1508640947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANNA STEPHANIE JEAN MARY Podiatrist 216-334-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-30 |