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Individual

JOHN BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1265 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4004
(330) 758-8808
(330) 758-4288
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
36-00 2403
OH
213E00000X
Podiatrist
SC-00-4452
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0664393
OH
05
2101013-000
WV
Enumeration date
06/30/2005
Last updated
02/21/2019
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