Organization
DR ROBERT L ANDERSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREMAINE B OATMAN DPM (PRESIDENT)
(440) 519-2900
Entity
Organization
Contact information
Practice address
33565 BAINBRIDGE RD, SOLON, OH 44139-2952
(440) 519-2900
Mailing address
33565 BAINBRIDGE RD, SOLON, OH 44139-2952
(440) 519-2900
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-001275
OH
213E00000X
Podiatrist
36-001994
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040820
—
OH
01
—
CL1675
RAILROAD MEDICARE
OH
Enumeration date
09/28/2006
Last updated
11/15/2011
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