# PODIATRIC MEDICAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275926347
- **Authorized official:** DR. CHRISTOPHER S GRANDFIELD DPM (TREASURER)
- **Authorized official phone:** (219) 362-5417

## Contact information

- **Practice address:** 1501 STATE STREET, LA PORTE, IN 46350-3115
- **Practice address phone:** (219) 362-5417
- **Practice address fax:** (219) 325-3431
- **Mailing address:** 1501 STATE ST, LA PORTE, IN 46350-3115
- **Mailing address phone:** (219) 362-5417
- **Mailing address fax:** (219) 325-3431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | IN | Yes |

## Other

- **Enumeration date:** 03/12/2015
- **Last updated:** 03/22/2016