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Organization
TRIAD FOOT AND ANKLE SPECIALISTS, LLC
Active
Organization
TRIAD FOOT AND ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J. SIESEL DPM (PRESIDENT)
(216) 226-9108
Entity
Organization
Contact information
Practice address
15644 MADISON AVE, SUITE 217, LAKEWOOD, OH 44107-5622
(216) 226-9108
(216) 226-9108
Mailing address
PO BOX 93, NORTH OLMSTED, OH 44070-0093
(440) 777-6017
(440) 777-6940
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA5380
RR MEDICARE
—
Enumeration date
01/05/2006
Last updated
03/10/2008
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