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Individual

BRENDAN C MCCARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3600 KOLBE RD, LORAIN, OH 44053-1654
(440) 732-0801
Mailing address
33007 LAKE RD, AVON LAKE, OH 44012
(440) 732-0801

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003712
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0108470
OH
Enumeration date
04/21/2011
Last updated
03/22/2016
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