Organization
TOLEDO FOOT AND ANKLE SPECIALIST
Active
Other names
TOLEDO FOOT AND ANKLE SPECIALIST
Organization subpart
No
Provider details
NPI number
Authorized official
ABLA SOUEIDAN (MANAGER)
(313) 207-5767
Entity
Organization
Contact information
Practice address
3128 W SYLVANIA AVE, TOLEDO, OH 43613-4132
(419) 471-0079
(419) 471-0881
Mailing address
53 POTTER DR, BELLEVILLE, MI 48111-3607
(313) 207-5767
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
08/07/2023
Last updated
01/25/2024
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