Midwest Foot and Ankle Clinic LLC

NPI #1376211839 in Hicksville, Ohio

Provider Information

NPI Number: 1376211839
Entity Type: Organization
Organization Name: Midwest Foot and Ankle Clinic LLC
Primary Specialty: Podiatrist
Enumeration Date: Aug 31, 2021
Last Updated: Aug 31, 2021

Practice Location

Address: 208 COLUMBUS ST STE 200
City: Hicksville
State: Ohio
ZIP Code: 43526-1250
Phone: (419) 799-1180

Authorized Official

Name: NITIE I SROA
Title: DPM
Phone: (419) 799-1180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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