Organization
FOOT AND ANKLE OF GARRETTSVILLE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL AARON MASCHEK DPM (OWNER)
(330) 527-4088
Entity
Organization
Contact information
Practice address
8131 MAIN ST, GARRETTSVILLE, OH 44231-1215
(330) 527-4088
(330) 527-4089
Mailing address
8131 MAIN ST, GARRETTSVILLE, OH 44231-1215
(330) 527-4088
(330) 527-4089
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-003345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2479170
—
OH
01
—
283847344-00
BWC NUMBER
—
Enumeration date
10/29/2007
Last updated
10/29/2007
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