| NPI | 1770040081 |
|---|---|
| Doing Business As | CRAWFORDSVILLE FOOT AND ANKLE, LLC |
| Entity Type | Organization |
| Authorized Contact | SUE L MARTIN Credentialer 173-408-8400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |