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Organization
FOOT AND ANKLE OF GARRETTSVILLE CORP
Active
Organization
FOOT AND ANKLE OF GARRETTSVILLE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL AARON MASCHEK DPM (OWNER)
(330) 527-4088
Entity
Organization
Contact information
Practice address
8131 MAIN ST, GARRETTSVILLE, OH 44231-1215
(330) 527-4088
(330) 527-4089
Mailing address
8131 MAIN ST, GARRETTSVILLE, OH 44231-1215
(330) 527-4088
(330) 527-4089
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-003345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2479170
—
OH
01
—
283847344-00
BWC NUMBER
—
Enumeration date
10/29/2007
Last updated
10/29/2007
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