Organization
EXECUTIVE FOOT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EZRIEL ZELIG SCHUR DPM (PRESIDENT)
(800) 379-0398
Entity
Organization
Contact information
Practice address
5520 BROADVIEW RD, PARMA, OH 44134-1605
(800) 379-0398
Mailing address
3650 SEVERN RD, CLEVELAND HTS, OH 44118-1907
(800) 379-0398
(216) 932-9991
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002038
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005797562
AETNA
OH
05
—
0465974
—
OH
01
—
220PROFMEDDUMY
ANTHEM BLUE CROSS & BLUE
OH
01
—
57116
NATIONWIDE
OH
Enumeration date
05/14/2007
Last updated
08/22/2020
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