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Organization
FOOTCARE ASSOCIATES, INC.
Active
Organization
FOOTCARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A. KUTLICK D.P.M (PRESIDENT/OWNER)
(330) 385-2227
Entity
Organization
Contact information
Practice address
15700 STATE ROUTE 170 STE B, EAST LIVERPOOL, OH 43920-9657
(330) 385-2227
(330) 385-4242
Mailing address
15700 STATE ROUTE 170 STE B, EAST LIVERPOOL, OH 43920-9657
(330) 385-2227
(330) 385-4242
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36001819
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360961
—
OH
05
—
2541100
—
OH
Enumeration date
11/02/2006
Last updated
07/21/2011
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