| NPI | 1982850525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RAABE Owner 330-477-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OH 1714) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2018-06-29 |