Individual
GEORGEANNE G BOTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36002867B
OH
213ES0131X
Foot Surgery Podiatrist
Primary
2867
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0248002
—
OH
Enumeration date
04/10/2006
Last updated
05/29/2024
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