| NPI | 1750567954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J KEANE CEO 937-847-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36002572) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-02-13 |