| NPI | 1659638104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWIN PROMMERSBERGER Onwer 330-726-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36-00-2619) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2021-05-28 |