Individual provider · Type 1 NPI
Bryn Laubacher, DPM
Foot & Ankle Surgery Podiatrist · Maywood, IL
NPI number
1548622012
Active
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 016005846 (IL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016005846 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1548622012
Bryn Laubacher, DPM's National Provider Identifier is 1548622012, issued on Mar 24, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Maywood, IL. The record was last updated on Nov 20, 2024.