institution
Grand Lake Podiatry Inc
Foot & Ankle Surgery Podiatrist in Springfield, Ohio
NPI 1184896177

Grand Lake Podiatry Inc is a Foot & Ankle Surgery Podiatrist based in Celina, OH and is specialized in Foot & Ankle Surgery. Grand Lake Podiatry Inc practices in Springfield, OH. The NPI Number for Grand Lake Podiatry Inc is 1184896177 and holds a License No. 36 002772 (Ohio).

The current practice location address for Grand Lake Podiatry Inc is 2624 Lexington Ave, Springfield, OH and can be reached out via phone at 937-322-3346 and via fax at 937-322-3348. You can also correspond with Grand Lake Podiatry Inc through the mailing address at 1222 IRMSCHER BLVD, CELINA, OH - 45822-8305 (mailing address contact number: 419-586-7874).

Location: 2624 Lexington Ave, Springfield, OH, 45822-8305
institution
Provider Profile Details
NPI Number
1184896177
Provider Name
Grand Lake Podiatry Inc
Credential
Provider Entity Type
Organization
Address
2624 Lexington Ave, Springfield, OH, 45822-8305
Phone Number
937-322-3346
Fax Number
937-322-3348
Provider Enumeration Date
03/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2544885 05 OH
institution
Provider Business Practice Location Address Details
Address
2624 Lexington Ave
City
State
Zip
45505-2607
Phone Number
937-322-3346
Fax Number
937-322-3348
person
Provider Business Mailing Address Details
Address
1222 Irmscher Blvd
City
State
Zip
45822-8305
Phone Number
419-586-7874
Fax Number
419-586-2776
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
36 002772 (Ohio)
Definition
Definition to come...
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