| NPI | 1760683593 |
|---|---|
| Doing Business As | WAYNEDALE FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | DENNIS JOHN CHUBINSKI President Owner 260-747-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000406) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |