NPI | 1720306194 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY C MADEJ Manager 440-842-6781 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003437) |
Enumeration Date | 2010-05-11 |
Last Update Date | 2014-11-25 |