Organization
NORTHERN OHIO FOOT & ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FORMAN (PODIATRIST)
(440) 461-0777
Entity
Organization
Contact information
Practice address
29001 CEDAR RD STE 309, LYNDHURST, OH 44124-4041
(440) 461-0777
(440) 646-2433
Mailing address
29001 CEDAR RD, 309, LYNDHURST, OH 44124-4062
(440) 461-0777
(440) 646-2433
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001417
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2735731
—
OH
Enumeration date
09/15/2006
Last updated
04/30/2010
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