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Avon Lake Podiatry INC

NPI #1992864490 in Avon Lake, Ohio

Provider Information

NPI Number
1992864490
Entity Type
Organization
Organization Name
Avon Lake Podiatry INC
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Dec 8, 2006
Last Updated
May 29, 2008

Practice Location

Address
32730 WALKER RD
Address 2
SUITE I-3
City
Avon Lake
State
Ohio
ZIP Code
44012-4100
Phone
(440) 933-4021

Authorized Official

Name
DR. MARK DAVID GOULD, DPM
Title
PRESIDENT
Phone
(440) 933-4021

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery

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