Organization
GLENVILLE FOOT AND ANKLE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAI MAN LEE DPM (PRESIDENT)
(216) 268-0800
Entity
Organization
Contact information
Practice address
10701 ST. CLAIR AVE., CLEVELAND, OH 44108
(216) 268-0800
(216) 268-0801
Mailing address
10701 ST. CLAIR AVE., CLEVELAND, OH 44108
(931) 206-4362
(606) 257-5039
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
OH
332B00000X
Durable Medical Equipment & Medical Supplies
36003361
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2973260
—
OH
Enumeration date
06/04/2009
Last updated
08/04/2010
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