GRAND LAKE PODIATRY INC

CELINA, OH
NPI1871765362
Entity TypeOrganization
Authorized ContactMARY KATHERINE SWONGER
Podiatrist/Owner President
4195-868-7874
Organization Subpart ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: OH  36 002772)
Enumeration Date2008-03-25
Last Update Date2011-06-14
Business Address
GRAND LAKE PODIATRY INC
1222 IRMSCHER BLVD
CELINA, OH 45822-8305
Phone number: 419-586-7874
Mailing Address
GRAND LAKE PODIATRY INC
1222 IRMSCHER BLVD
CELINA, OH 45822-8305
Phone number: 419-586-7874