Organization
PODIATRY HOME HEALTH CARE
Active
Organization
PODIATRY HOME HEALTH CARE
Active
Other names
Barbara L. Petkovic DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA LYNN PETKOVIC D.P.M. (PODIATRIST)
(440) 885-2130
Entity
Organization
Contact information
Practice address
5683 PEARL RD, PARMA, OH 44129-2528
(440) 885-2130
(440) 848-8406
Mailing address
5683 PEARL RD, PARMA, OH 44129-2528
(440) 885-2130
(440) 848-8406
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36003284
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2323444
—
OH
Enumeration date
04/02/2009
Last updated
05/19/2009
Update your record
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