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Organization
PODIATRIC MEDICAL ASSOCIATES PC
Active
Organization
PODIATRIC MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER S GRANDFIELD DPM (TREASURER)
(219) 362-5417
Entity
Organization
Contact information
Practice address
1501 STATE STREET, LA PORTE, IN 46350-3115
(219) 362-5417
(219) 325-3431
Mailing address
1501 STATE ST, LA PORTE, IN 46350-3115
(219) 362-5417
(219) 325-3431
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IN
Other
Enumeration date
03/12/2015
Last updated
03/22/2016
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