| NPI | 1588829212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAEL HOFACKER President 330-836-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36002429) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |