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Organization
TOLEDO FOOT AND ANKLE SPECIALIST
Active
Organization
TOLEDO FOOT AND ANKLE SPECIALIST
Active
Other names
TOLEDO FOOT AND ANKLE SPECIALIST
Organization subpart
No
Provider details
NPI number
Authorized official
ABLA SOUEIDAN (MANAGER)
(313) 207-5767
Entity
Organization
Contact information
Practice address
3128 W SYLVANIA AVE, TOLEDO, OH 43613-4132
(419) 471-0079
(419) 471-0881
Mailing address
53 POTTER DR, BELLEVILLE, MI 48111-3607
(313) 207-5767
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
08/07/2023
Last updated
01/25/2024
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