# MIDWEST FOOTCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952531980
- **Authorized official:** LEWIS M VICHINSKY D.P.M. (PRESIDENT)
- **Authorized official phone:** (937) 642-9936

## Contact information

- **Practice address:** 875 E COLUMBUS ST, KENTON, OH 43326-2601
- **Practice address phone:** (419) 675-3668
- **Practice address fax:** (419) 675-2237
- **Mailing address:** 245 STOCKSDALE DR, MARYSVILLE, OH 43040-1563
- **Mailing address phone:** (937) 642-9936
- **Mailing address fax:** (937) 642-5537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36-00-1774-V | OH | Yes |

## Other

- **Enumeration date:** 07/24/2009
- **Last updated:** 08/12/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2457934 | — | OH |