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Organization
COMMUNITY FOOT AND ANKLE OF MENTOR INC.
Active
Organization
COMMUNITY FOOT AND ANKLE OF MENTOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G. COPPERS DPM (PRESIDENT)
(440) 946-5858
Entity
Organization
Contact information
Practice address
7230 MENTOR AVE, MENTOR, OH 44060
(440) 946-5858
Mailing address
7230 MENTOR AVE, MENTOR, OH 44060-7522
(440) 946-5858
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116889
—
OH
01
—
DV3702
RAILROAD MEDICARE
OH
Enumeration date
07/17/2014
Last updated
08/13/2015
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