Madison Lee Podiatry INC

NPI #1912955162 in Shaker Heights, Ohio

Provider Information

NPI Number: 1912955162
Entity Type: Organization
Organization Name: Madison Lee Podiatry INC
Primary Specialty: Podiatrist
Enumeration Date: May 4, 2006
Last Updated: Jun 21, 2010

Practice Location

Address: 3691 LEE RD
Address 2: SUITE 102
City: Shaker Heights
State: Ohio
ZIP Code: 44120-5145
Phone: (216) 491-9902

Authorized Official

Name: DR. ROBERT THOMAS PORTNOW, DPM
Title: PRESIDENT
Phone: (216) 491-9902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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