Organization
DR BODMAN PODIATRY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES BODMAN DPM (PHYSICIAN/PRESIDENT)
(440) 356-1989
Entity
Organization
Contact information
Practice address
21245 LORAIN ROAD, SUITE 115, FAIRVIEW PARK, OH 44126-2140
(440) 356-1989
(440) 356-5944
Mailing address
21245 LORAIN ROAD, SUITE 115, FAIRVIEW PARK, OH 44126-2140
(440) 356-1989
(440) 356-5944
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36001747
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2250237
—
OH
Enumeration date
11/13/2006
Last updated
06/17/2020
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