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
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