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Grand Lake Podiatry Inc
Foot & Ankle Surgery Podiatrist in Bellefontaine, Ohio
NPI 1184896383

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 Bellefontaine, OH. The NPI Number for Grand Lake Podiatry Inc is 1184896383 and holds a License No. 36 002772 (Ohio).

The current practice location address for Grand Lake Podiatry Inc is 3772 Us Rt 68 S, Bellefontaine, OH and can be reached out via phone at 937-599-3668 and via fax at 937-599-4852.

Location: 3772 Us Rt 68 S, Bellefontaine, OH, 45822-8305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184896383
Provider Name
Grand Lake Podiatry Inc
Credential
Provider Entity Type
Organization
Address
3772 Us Rt 68 S, Bellefontaine, OH, 45822-8305
Phone Number
937-599-3668
Fax Number
937-599-4852
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2544858 05 OH
institution
Provider Business Practice Location Address Details
Address
3772 Us Rt 68 S
City
Bellefontaine
State
Ohio
Zip
43311-3311
Phone Number
937-599-3668
Fax Number
937-599-4852
person
Provider Business Mailing Address Details
Address
3772 Us Rt 68 S
City
Bellefontaine
State
Ohio
Zip
43311-3311
Phone Number
937-599-3668
Fax Number
937-599-4852
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
36 002772 (Ohio)
Definition
Definition to come...
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