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Individual

DR. TOM ADOLPH CORRIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
15810 DETROIT AVE, LAKEWOOD, OH 44107-3711
(216) 529-1800
(216) 529-3201
Mailing address
15810 DETROIT AVE, LAKEWOOD, OH 44107-3711
(216) 529-1800
(216) 529-3201

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36-00-3355-C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000478187
ANTHEM BLUE CROSS BLUE SHIELD
OH
01
200149025
TRICARE
OH
01
200149025001
MEDICAL MUTUAL
OH
01
200149025027
CARESOURCE
OH
05
2430382
OH
01
735898
BUCKEYE
OH
01
7611806
AETNA
OH
01
7697230
CIGNA
OH
01
P00388602
MEDICARE RRB
OH
Enumeration date
10/18/2005
Last updated
06/04/2008
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