Individual
ROBERT WILLIAM MENDICINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
303 E TOWN ST, COLUMBUS, OH 43215-4601
(614) 788-5000
(614) 788-5100
Mailing address
303 E TOWN ST, COLUMBUS, OH 43215-4601
(614) 788-5000
(614) 788-5100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC003270L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003654
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
567
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
SC003270L
PA
213ES0131X
Foot Surgery Podiatrist
SC003270L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011607060006
—
PA
05
—
3026504
—
OH
Enumeration date
01/23/2006
Last updated
01/05/2022
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