Ksu Foot & Ankle Clinic

NPI #1265793111 in Independence, Ohio

Provider Information

NPI Number
1265793111
Entity Type
Organization
Organization Name
Ksu Foot & Ankle Clinic
Primary Specialty
Podiatrist
Enumeration Date
Jun 6, 2012
Last Updated
Oct 10, 2012

Practice Location

Address
6000 ROCKSIDE WOODS BLVD N
State
Ohio
ZIP Code
44131-2330
Phone
(216) 916-7369

Authorized Official

Name
CHARLES GREENE
Title
DIRECTOR
Phone
(330) 672-2982

Specialties & Taxonomy Codes

Specialty
Podiatrist

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