person
Dr. Michael James Bodman, DPM
Primary Podiatric Medicine Podiatrist in Fairview Park, Ohio
NPI 1386615144

Michael James Bodman is a Primary Podiatric Medicine Podiatrist based in Fairview Park, OH and is specialized in Primary Podiatric Medicine. Michael James Bodman practices in Fairview Park, OH and has the professional credentials of DPM. The NPI Number for Michael James Bodman is 1386615144 and holds a License No. 36003254 (Ohio).

The current practice location address for Michael James Bodman is 21245 Lorain Rd, Fairview Park, OH and can be reached out via phone at 440-356-1989 and via fax at 440-356-5944.

Location: 21245 Lorain Rd, Fairview Park, OH, 44126-2146
person
Provider Profile Details
NPI Number
1386615144
Provider Name
Michael James Bodman
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
21245 Lorain Rd, Fairview Park, OH, 44126-2146
Phone Number
440-356-1989
Fax Number
440-356-5944
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
341944827 01 OH AETNA
480033770 01 OH RAILROAD MEDICARE
000000210952 01 OH BLUE CROSS AND BLUE SHIELD
2250184 05 OH
institution
Provider Business Practice Location Address Details
Address
21245 Lorain Rd
City
State
Zip
44126-2146
Phone Number
440-356-1989
Fax Number
440-356-5944
person
Provider Business Mailing Address Details
Address
21245 Lorain Rd
City
State
Zip
44126-2146
Phone Number
440-356-1989
Fax Number
440-356-5944
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
36003254 (Ohio)
Definition
Definition to come...
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