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Organization

CHAGRIN VALLEY FOOT AND ANKLE SPECIALISTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACQUELYN L QUERCIOLI DPM (OWNER)
(440) 285-4010
Entity
Organization

Contact information

Practice address
11850 MAYFIELD RD, SUITE 2, CHARDON, OH 44024-8370
(440) 285-4010
(877) 561-7535
Mailing address
11850 MAYFIELD RD, SUITE 2, CHARDON, OH 44024-8370
(440) 285-4010
(877) 561-7535

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3136172
OH
Enumeration date
01/25/2011
Last updated
07/18/2011
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