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Organization
STARK COUNTY FOOT & ANKLE CLINIC
Active
Organization
STARK COUNTY FOOT & ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LYNN DIEHL (INSURANCE CLAIMS PROCESSOR)
(330) 833-5692
Entity
Organization
Contact information
Practice address
323 MARION AVE NW, SUITE 101, MASSILLON, OH 44646
(330) 837-7715
(330) 837-7645
Mailing address
323 MARION AVE NW, SUITE 101, MASSILLON, OH 44646
(330) 837-7715
(330) 837-7645
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
OH36002987
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413650
—
OH
Enumeration date
06/09/2006
Last updated
08/22/2020
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