Organization
MOLLY S JUDGE DPM
Active
Other names
North West Ohio Foot and Ankle LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY S JUDGE DPM (OWNER)
(419) 732-2618
Entity
Organization
Contact information
Practice address
530 WASHINGTON STREET, PORT CLINTON, OH 43452-1935
(419) 732-2618
(419) 732-1998
Mailing address
530 WASHINGTON STREET, PORT CLINTON, OH 43452-1935
(419) 732-2618
(419) 732-1998
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2877
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000142130
ANTHEMBCBS
OH
05
—
134887318
—
MI
05
—
2019774
—
OH
01
—
4855810540
BCBS MI
MI
Enumeration date
02/27/2008
Last updated
10/18/2012
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