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Individual

BRUCE R SAFERIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1414 S BYRNE RD, TOLEDO, OH 43614-2363
(419) 381-9977
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 381-9977

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002015S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0468613
OH
Enumeration date
07/12/2005
Last updated
06/03/2011
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