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Individual

TODD SCHMIDGALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
5318 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1012
(513) 421-5160
Mailing address
1548 ADDINGHAM PL, CINCINNATI, OH 45223-1712

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-3213 S
OH
213EP1101X
Primary Podiatric Medicine Podiatrist
10405
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810016994
WV
05
7100128610
KY
01
P00831630
RAILROAD MEDICARE WEST VIRGINIA
WV
Enumeration date
08/31/2006
Last updated
11/13/2010
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