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Organization

OHIO FOOT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOEL WILLIAM CONSOLO D.P.M. (PRESIDENT/PHYSICIAN)
(419) 443-8637
Entity
Organization

Contact information

Practice address
672 MIAMI ST STE D, TIFFIN, OH 44883-1984
(419) 443-8637
(419) 443-9937
Mailing address
672 MIAMI ST STE D, TIFFIN, OH 44883-1984
(419) 443-8637
(419) 443-9937

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002994
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2240695
OH
Enumeration date
10/22/2007
Last updated
03/21/2024
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