Individual
DR. MOLLY S JUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
530 WASHINGTON ST, PORT CLINTON, OH 43452-1935
(419) 732-2618
(419) 732-1998
Mailing address
530 WASHINGTON ST, PORT CLINTON, OH 43452-1935
(419) 732-2618
(419) 732-1998
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
L834822
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.002877
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000142130
ANTHEM BCBS OH
OH
05
—
134887318
—
MI
05
—
2019774
—
OH
01
—
4855810540
BCBS MI
MI
Enumeration date
05/22/2006
Last updated
11/09/2012
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