Organization
COMMUNITY FOOT AND ANKLE OF MENTOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G. COPPERS DPM (PRESIDENT)
(440) 946-5858
Entity
Organization
Contact information
Practice address
7230 MENTOR AVE, MENTOR, OH 44060
(440) 946-5858
Mailing address
7230 MENTOR AVE, MENTOR, OH 44060-7522
(440) 946-5858
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116889
—
OH
01
—
DV3702
RAILROAD MEDICARE
OH
Enumeration date
07/17/2014
Last updated
08/13/2015
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