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Organization
ACTIVE FOOT AND ANKLE CARE LLC
Active
Organization
ACTIVE FOOT AND ANKLE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WHITNEY RAE HOLSOPPLE DPM (OWNER)
(937) 216-8958
Entity
Organization
Contact information
Practice address
138 SHAWNEE ST, GREENVILLE, OH 45331
(937) 459-5432
Mailing address
300 S DORSET RD, TROY, OH 45373-2635
(937) 875-2526
(937) 552-9880
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003402
OH
Other
Enumeration date
02/25/2008
Last updated
12/17/2019
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