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Organization
GLENVILLE FOOT AND ANKLE CENTER, INC.
Active
Organization
GLENVILLE FOOT AND ANKLE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAI MAN LEE DPM (PRESIDENT)
(216) 268-0800
Entity
Organization
Contact information
Practice address
10701 ST. CLAIR AVE., CLEVELAND, OH 44108
(216) 268-0800
(216) 268-0801
Mailing address
10701 ST. CLAIR AVE., CLEVELAND, OH 44108
(931) 206-4362
(606) 257-5039
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
OH
332B00000X
Durable Medical Equipment & Medical Supplies
36003361
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2973260
—
OH
Enumeration date
06/04/2009
Last updated
08/04/2010
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