Organization
BUCKEYE FOOT & ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN YU DPM (PARTNER)
(937) 653-6105
Entity
Organization
Contact information
Practice address
498 LONDON AVE, SUITE F, MARYSVILLE, OH 43040-5512
(937) 578-2424
(937) 578-2471
Mailing address
883 LONDON AVE STE C, MARYSVILLE, OH 43040-9166
(937) 645-0102
(937) 795-1150
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096146
—
OH
Enumeration date
03/09/2016
Last updated
02/02/2018
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