Organization · Type 2 NPI
South Side Foot and Ankle Clinic
Foot & Ankle Surgery Podiatrist · South Bend, IN
NPI number
1295066546
Active
Practice location
3506 S Michigan St
South Bend, IN 46614-1728
Fax (574) 231-1961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 07000810A (IN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot & ankle surgery podiatrist providers in South Bend
About NPI 1295066546
South Side Foot and Ankle Clinic's National Provider Identifier is 1295066546, issued on Jan 27, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in South Bend, IN. The record was last updated on Jan 27, 2010.