Organization
NORTHEASTERN OHIO FOOT & ANKLE SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE A. BUCCILLI JR. DPM (PRESIDENT)
(330) 687-7464
Entity
Organization
Contact information
Practice address
5500 ARMSTRONG RD, BATTLE CREEK, MI 49037-7314
(269) 966-5600
Mailing address
5500 ARMSTRONG RD, BATTLE CREEK, MI 49037-7314
(269) 966-5600
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003352
OH
Other
Enumeration date
12/28/2006
Last updated
08/15/2025
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