| NPI | 1932595428 |
|---|---|
| Doing Business As | PROMEDICA PHYSICIANS PODIATRY |
| Entity Type | Organization |
| Authorized Contact | LORRAINE MCCUNE Credentialing Specialist 567-585-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2024-07-15 |