| NPI | 1740479344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W WEISSFELD Owner/ Pres. 330-923-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36.002557) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.002845) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2010-07-13 |