Organization · Type 2 NPI
Grand Lake Podiatry Inc
Foot & Ankle Surgery Podiatrist · Bellefontaine, OH
NPI number
1184896383
Active
Practice location
3772 US Rt 68 S
Bellefontaine, OH 43311-3311
Fax (937) 599-4852
Mailing address
1222 Irmscher Blvd
Celina, OH 45822-8305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 36 002772 (OH) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Bellefontaine
About NPI 1184896383
Grand Lake Podiatry Inc's National Provider Identifier is 1184896383, issued on Mar 27, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bellefontaine, OH. The record was last updated on Jun 9, 2011.