Organization
MID-OHIO PODIATRY INC
Active
Other names
William Mako Jr DPM Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA KAY ALBRIGHT (SECRETARY)
(419) 342-6351
Entity
Organization
Contact information
Practice address
110 W SMILEY AVE, SHELBY, OH 44875
(419) 342-6351
(419) 347-1697
Mailing address
PO BOX 5005, SHELBY, OH 44875-5005
(419) 342-6351
(419) 347-1697
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704956
—
OH
01
—
C14898
RAILROAD MEDICARE
OH
Enumeration date
01/31/2006
Last updated
04/19/2011
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