Organization
OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L. UNSDORFER D.P.M. (PHYSICIAN)
(330) 725-7075
Entity
Organization
Contact information
Practice address
535 E SMITH RD, MEDINA, OH 44256-2637
(330) 725-7075
(330) 725-3988
Mailing address
535 E SMITH RD, MEDINA, OH 44256-2637
(330) 725-7075
(330) 725-3988
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36-002284
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
36-002284
OH
213ES0131X
Foot Surgery Podiatrist
36-002284
OH
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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