| NPI | 1508808395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J ZIMMERMAN President 419-756-1961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-03-11 |