Organization
OREGON FAMILY FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. CRAGEL D.P.M. (GENERAL PARTNER)
(419) 693-4171
Entity
Organization
Contact information
Practice address
1050 ISAAC STREETS DR STE 122, OREGON, OH 43616-3243
(419) 693-4171
(419) 693-6863
Mailing address
1050 ISAAC STREETS DR. #122, OREGON, OH 43616
(419) 693-4171
(419) 693-6863
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
2026
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497752
—
OH
05
—
2861390
—
OH
Enumeration date
12/12/2008
Last updated
06/07/2012
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