Glenville Foot And Ankle Center, INC.
Podiatrist in Cleveland, OH. Organization (NPI-2).
NPI number1760618714
StatusActive
Last updated in NPPESAug 4, 2010
Details
- NPI
- 1760618714
- Entity type
- Organization (NPI-2)
- Legal business name
- Glenville Foot And Ankle Center, INC.
- Organization subpart
- No
- Enumeration date
- Jun 4, 2009
- Last updated
- Aug 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | OH | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 36003361 | OH |
Practice location
10701 St. Clair Ave.Cleveland, OH 44108
Phone 216-268-0800 · Fax 216-268-0801
Mailing address
10701 St. Clair Ave.Cleveland, OH 44108
Phone 931-206-4362 · Fax 606-257-5039
Authorized official
Sai Man Lee
President
2162680800
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