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Individual

DR. EVERETT E FERRADINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1050 ISAAC STREETS DR, SUITE 122, OREGON, OH 43616-3291
(419) 693-4171
(419) 693-6863
Mailing address
1050 ISAAC STREETS DR, SUITE 122, OREGON, OH 43616-3291
(419) 693-4171
(419) 693-6863

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003491
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002427
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000574866
ANTHEM
01
05468
PARAMOUNT
05
2861390
OH
01
9508156
AETNA
Enumeration date
08/27/2007
Last updated
05/01/2012
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