Organization
WESTERN OHIO PODIATRIC MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT MAHER DPM (OWNER)
(937) 548-1244
Entity
Organization
Contact information
Practice address
415 W RUSS RD, GREENVILLE, OH 45331-2457
(937) 548-1244
(934) 548-8898
Mailing address
415 W RUSS RD, GREENVILLE, OH 45331-2457
(937) 548-1244
(934) 548-8898
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413374
—
OH
Enumeration date
09/25/2006
Last updated
11/09/2015
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