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John Shalley Carroll, DPM
Podiatrist in Maumee, Ohio
NPI 1417956483

John Shalley Carroll is a Podiatrist based in Maumee, OH. John Shalley Carroll practices in Maumee, OH and has the professional credentials of DPM. The NPI Number for John Shalley Carroll is 1417956483 and holds a License No. 36 001951 (Ohio).

The current practice location address for John Shalley Carroll is 609 Ford St, Maumee, OH and can be reached out via phone at 419-893-5539 and via fax at 419-893-6853.

Location: 609 Ford St, Maumee, OH, 43537-1947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417956483
Provider Name
John Shalley Carroll
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
609 Ford St, Maumee, OH, 43537-1947
Phone Number
419-893-5539
Fax Number
419-893-6853
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00059 01 OH PARAMOUNT
000000135410 01 ANTHEM
0447047 05 OH
institution
Provider Business Practice Location Address Details
Address
609 Ford St
City
Maumee
State
Ohio
Zip
43537-1947
Phone Number
419-893-5539
Fax Number
419-893-6853
person
Provider Business Mailing Address Details
Address
609 Ford St
City
Maumee
State
Ohio
Zip
43537-1947
Phone Number
419-893-5539
Fax Number
419-893-6853
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
36 001951 (Ohio)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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