Organization
GEORGE D. SILVER D.P.M. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY ANN MARTIN DPM (OWNER)
(330) 922-0114
Entity
Organization
Contact information
Practice address
436 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1302
(330) 922-0114
(330) 922-4202
Mailing address
436 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1302
(330) 922-0114
(330) 922-4202
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003143
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17452991300
BWC INDIVIDUAL
OH
05
—
2201692
—
OH
01
—
CJ3521
RAILROAD MEDICARE
OH
Enumeration date
08/31/2006
Last updated
05/01/2015
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