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Organization
WESTERN OHIO PODIATRIC MEDICAL CENTER INC
Active
Organization
WESTERN OHIO PODIATRIC MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT MAHER DPM (OWNER)
(937) 548-1244
Entity
Organization
Contact information
Practice address
415 W RUSS RD, GREENVILLE, OH 45331-2457
(937) 548-1244
(934) 548-8898
Mailing address
415 W RUSS RD, GREENVILLE, OH 45331-2457
(937) 548-1244
(934) 548-8898
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413374
—
OH
Enumeration date
09/25/2006
Last updated
11/09/2015
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