Organization
JTDM FAMILY PRACTICE LLC
Active
Other names
Grand Lake Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA A POHL (CFO)
(419) 394-3335
Entity
Organization
Contact information
Practice address
1013 E SPRING ST, SAINT MARYS, OH 45885-2447
(419) 394-8664
(419) 394-1148
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 394-3335
(419) 394-8485
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
02/06/2024
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