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Organization
PODIATRIC ASSOCIATES OF NORTHWEST OHIO, LLC
Active
Organization
PODIATRIC ASSOCIATES OF NORTHWEST OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S CARROLL DPM (PRESIDENT)
(419) 893-5539
Entity
Organization
Contact information
Practice address
609 FORD ST, MAUMEE, OH 43537-1947
(419) 893-5539
(419) 893-6853
Mailing address
609 FORD ST, MAUMEE, OH 43537-1947
(419) 893-5539
(419) 893-6853
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
NULL
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0777495
—
OH
Enumeration date
07/22/2005
Last updated
10/02/2023
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