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Grand Lake Podiatry, Inc.
Foot & Ankle Surgery Podiatrist in Bluffton, Ohio
NPI 1548377500

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 Bluffton, OH. The NPI Number for Grand Lake Podiatry, Inc. is 1548377500 and holds a License No. (Ohio).

The current practice location address for Grand Lake Podiatry, Inc. is 148 N Main St, Bluffton, OH and can be reached out via phone at 419-358-3050 and via fax at 419-358-0240.

Location: 148 N Main St, Bluffton, OH, 45822-8305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548377500
Provider Name
Grand Lake Podiatry, Inc.
Credential
Provider Entity Type
Organization
Address
148 N Main St, Bluffton, OH, 45822-8305
Phone Number
419-358-3050
Fax Number
419-358-0240
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2057929 05 OH
institution
Provider Business Practice Location Address Details
Address
148 N Main St
City
Bluffton
State
Ohio
Zip
45817-1246
Phone Number
419-358-3050
Fax Number
419-358-0240
person
Provider Business Mailing Address Details
Address
148 N Main St
City
Bluffton
State
Ohio
Zip
45817-1246
Phone Number
419-358-3050
Fax Number
419-358-0240
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
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Definition
Definition to come...
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