| NPI | 1790963197 |
|---|---|
| Doing Business As | FAMILY FOOT CLINIC - NICHOLAS COSTIDAKIS, DPM |
| Entity Type | Organization |
| Authorized Contact | MARTHA K MILLER Director Of Billing 765-446-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000748A) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2020-06-15 |