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Organization

BLUFFTON FOOT AND ANKLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL W KIRK (DPM)
(419) 358-3050
Entity
Organization

Contact information

Practice address
148 N MAIN ST, BLUFFTON, OH 45817-1246
(419) 358-3050
Mailing address
148 N MAIN ST, BLUFFTON, OH 45817-1246
(419) 358-3050

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003451
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3034362
OH
Enumeration date
02/25/2010
Last updated
06/15/2020
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