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Organization

ERIC D TRATTNER DPM

Active
Other names
Twinsburg Foot Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC D TRATTNER D.P.M. (OWNER)
(330) 405-3301
Entity
Organization

Contact information

Practice address
8900 DARROW RD, H 110, TWINSBURG, OH 44087-6800
(330) 405-3301
(330) 405-3315
Mailing address
POST OFFICE BOX 39662, CLEVELAND, OH 44139-0662
(330) 405-3301
(330) 405-3315

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002488
OH
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0706785
OH
01
SP04441
MEDICARE PTAN
OH
01
SP04442
MEDICARE PTAN
OH
Enumeration date
07/02/2012
Last updated
04/23/2014
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