Organization
HARBOURTOWN FOOT & ANKLE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA CYNTHIA BAUER D.P.M. (OWNER/PROVIDER)
(440) 967-7498
Entity
Organization
Contact information
Practice address
5435 LIBERTY AVE, VERMILION, OH 44089-1333
(440) 967-7498
Mailing address
5435 LIBERTY AVE, VERMILION, OH 44089-1333
(440) 967-7498
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003187B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187100
—
OH
Enumeration date
03/13/2008
Last updated
03/13/2008
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