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 |