Grand Lake Podiatry, Inc in Minster - Foot & Ankle Surgery
Grand Lake Podiatry, Inc - NPI 1164694428
Grand Lake Podiatry, Inc is a Foot & Ankle Surgery in Minster, Ohio. Grand Lake Podiatry, Inc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Grand Lake Podiatry, Inc is 1164694428. The last update date is 2008-04-18.
Grand Lake Podiatry, Inc's current location address is 6 Eagle Dr, Minster, Ohio. You can contact this provider via phone number 4196287874 and fax number 4196284620. The mailing address for Grand Lake Podiatry, Inc is 6 Eagle Dr, Minster, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Lake Podiatry, Inc |
|---|---|
| Address | 6 Eagle Dr, Minster, Ohio |
| Phone Number | 4196287874 |
| Fax Number | 4196284620 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PODIATRIST |
|---|---|
| Authorized Official Name | Benjamin-Swonger Katherine Mary |
| Credentials | DPM |
| Telephone Number | 4195867874 |
NPI Number Detail
| NPI Number | 1164694428 |
|---|---|
| Provider Enumeration Date | 2008-03-27 |
| Last Updated Date | 2008-04-18 |
Provider Mailing Address Detail
| Address | 6 Eagle Dr |
|---|---|
| City | Minster |
| State | Ohio (OH) |
| Post Code | 458659714 |
| Phone Number | 4196287874 |
| Fax Number | 4196284620 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 36 002772 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2544876 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Grand Lake Podiatry, Inc by the Centers for Medicare & Medicaid Services?
The Grand Lake Podiatry, Inc has been issued the NPI (National Provider Identifier) 1164694428 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Grand Lake Podiatry, Inc is located?
The Grand Lake Podiatry, Inc is situated at the following address: 6 Eagle Dr, Minster, OH, 458659714.
What is Grand Lake Podiatry, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Grand Lake Podiatry, Inc is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164694428 to Grand Lake Podiatry, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1164694428 to Grand Lake Podiatry, Inc on 2008-03-27.
When was the information regarding Grand Lake Podiatry, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Grand Lake Podiatry, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-18.