Organization
AFFILIATED ANKLE AND FOOT PODIATRY CLINIC, P.C.
Active
Organization
AFFILIATED ANKLE AND FOOT PODIATRY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOTTY S DOMBROWSKY (OFFICE MANAGER)
(219) 736-2010
Entity
Organization
Contact information
Practice address
244 E 90TH DR, MERRILLVILLE, IN 46410-8102
(219) 736-2010
(219) 736-2013
Mailing address
244 E 90TH DR, MERRILLVILLE, IN 46410-8102
(219) 736-2010
(219) 736-2013
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
52000060
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202580
—
IN
01
—
CK0405
RAILROAD MEDICARE PIN
IN
01
—
CK0410
RAILROAD MEDICARE
IN
Enumeration date
01/30/2007
Last updated
06/18/2010
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