Jason T Bakich Dpm LLC

NPI #1104015304 in Westlake, Ohio

Provider Information

NPI Number: 1104015304
Entity Type: Organization
Organization Name: Jason T Bakich Dpm LLC
Primary Specialty: Podiatrist
Enumeration Date: Oct 24, 2007
Last Updated: Mar 2, 2011

Practice Location

Address: 29101 HEALTH CAMPUS DR
City: Westlake
State: Ohio
ZIP Code: 44145-5270
Phone: (440) 899-4399

Authorized Official

Name: JASON T BAKICH, DPM
Title: OWNER
Phone: (440) 899-4399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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