Individual
EUGENE D PODOLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
720 YOUNGSTOWN WARREN RD, NILES, OH 44446-3551
(330) 652-0535
(330) 652-0536
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3600-2212
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0628593
—
OH
05
—
2104005-000
—
WV
05
—
4080718
—
OH
Enumeration date
07/07/2005
Last updated
02/21/2019
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