| 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 |