Organization
PORTAGE FOOT HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G WARSHAW D.P.M. (D.P.M.)
(330) 297-7330
Entity
Organization
Contact information
Practice address
27378 W OVIATT RD, BAY VILLAGE, OH 44140-2139
(440) 871-4700
Mailing address
444 S MERIDIAN ST STE 7, RAVENNA, OH 44266-2961
(330) 297-7330
(330) 298-0497
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001979W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473714
—
OH
01
—
9286321
GROUP MEDICARE PIN
OH
Enumeration date
02/01/2007
Last updated
08/22/2020
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