Midstate Podiatry Associates Ltd

NPI #1548216047 in Bloomington, Illinois

Provider Information

NPI Number: 1548216047
Entity Type: Organization
Organization Name: Midstate Podiatry Associates Ltd
Primary Specialty: Podiatrist
Enumeration Date: May 26, 2006
Last Updated: Dec 17, 2012

Practice Location

Address: 2708 MCGRAW DR
City: Bloomington
State: Illinois
ZIP Code: 61704-6012
Phone: (309) 663-2306

Authorized Official

Name: DR. H R HADDEN, D.P.M.
Title: PRESIDENT
Phone: (309) 663-2306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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