Organization · Type 2 NPI
Grand Lake Podiatry Inc
Foot & Ankle Surgery Podiatrist · Celina, OH
NPI number
1871765362
Active
Practice location
1222 Irmscher Blvd
Celina, OH 45822-8305
Fax (419) 586-2776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 36 002772 (OH) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1871765362
Grand Lake Podiatry Inc's National Provider Identifier is 1871765362, issued on Mar 25, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Celina, OH. The record was last updated on Jun 14, 2011.