Organization
RICHMOND FOOT & ANKLE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VADIM GLUKH DPM (PHYSICIAN)
(216) 481-6654
Entity
Organization
Contact information
Practice address
464 RICHMOND RD, SUITE 201, RICHMOND HEIGHTS, OH 44143-2704
(216) 481-6654
(216) 481-3185
Mailing address
464 RICHMOND RD, SUITE 201, RICHMOND HEIGHTS, OH 44143-2704
(216) 481-6654
(216) 481-3185
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003112
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2787622
—
OH
Enumeration date
09/15/2005
Last updated
12/05/2011
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