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Avon Lake Podiatry Inc
Foot & Ankle Surgery Podiatrist in Avon Lake, Ohio
NPI 1992864490

Avon Lake Podiatry Inc is a Foot & Ankle Surgery Podiatrist based in Avon Lake, OH and is specialized in Foot & Ankle Surgery. Avon Lake Podiatry Inc practices in Avon Lake, OH. The NPI Number for Avon Lake Podiatry Inc is 1992864490 and holds a License No. 36.002416 (Ohio).

The current practice location address for Avon Lake Podiatry Inc is 32730 Walker Rd, Avon Lake, OH and can be reached out via phone at 440-933-4021 and via fax at 440-933-7132.

Location: 32730 Walker Rd, Avon Lake, OH, 44012-4100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992864490
Provider Name
Avon Lake Podiatry Inc
Credential
Provider Entity Type
Organization
Address
32730 Walker Rd, Avon Lake, OH, 44012-4100
Phone Number
440-933-4021
Fax Number
440-933-7132
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480004004 01 OH RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
32730 Walker Rd
City
Avon Lake
State
Ohio
Zip
44012-4100
Phone Number
440-933-4021
Fax Number
440-933-7132
person
Provider Business Mailing Address Details
Address
32730 Walker Rd
City
Avon Lake
State
Ohio
Zip
44012-4100
Phone Number
440-933-4021
Fax Number
440-933-7132
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
36.002416 (Ohio)
Definition
Definition to come...
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