Midwest Foot and Ankle Clinic LLC
NPI #1528734035 in Hicksville, Ohio
Provider Information
- NPI Number
- 1528734035
- Entity Type
- Organization
- Organization Name
- Midwest Foot and Ankle Clinic LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 17, 2021
- Last Updated
- Feb 22, 2022
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
- OWNER
- Phone
- (419) 799-1180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
| Durable Medical Equipment & Medical Supplies |
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