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Organization
OHIO FOOT INC
Active
Organization
OHIO FOOT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL WILLIAM CONSOLO D.P.M. (PRESIDENT/PHYSICIAN)
(419) 443-8637
Entity
Organization
Contact information
Practice address
672 MIAMI ST STE D, TIFFIN, OH 44883-1984
(419) 443-8637
(419) 443-9937
Mailing address
672 MIAMI ST STE D, TIFFIN, OH 44883-1984
(419) 443-8637
(419) 443-9937
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002994
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2240695
—
OH
Enumeration date
10/22/2007
Last updated
03/21/2024
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