| NPI | 1952425498 |
|---|---|
| Former Legal Business Name | HAYCOCK FOOT AND ANKLE CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | DARRYL MITCHELL HAYCOCK Doctor 419-228-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OH 36002946) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-01-24 |