Grand Lake Foot & Ankle INC

NPI #1841576998 in Celina, Ohio

Provider Information

NPI Number
1841576998
Entity Type
Organization
Organization Name
Grand Lake Foot & Ankle INC
Primary Specialty
Podiatrist
Enumeration Date
Nov 2, 2011
Last Updated
Mar 22, 2016

Practice Location

Address
1222 IRMSCHER BLVD
City
Celina
State
Ohio
ZIP Code
45822-8305
Phone
(419) 586-7874

Authorized Official

Name
MARY BENJAMIN SWONGER, DPM
Title
DPM
Phone
(419) 586-7874

Specialties & Taxonomy Codes

Specialty
Podiatrist

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