Individual
BEAU G BORTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5757 MONCLOVA RD, SUITE 5, MAUMEE, OH 43537-1863
(419) 893-5757
(419) 893-5399
Mailing address
5757 MONCLOVA RD STE 5, MAUMEE, OH 43537-1863
(419) 893-5757
(419) 893-5399
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003428
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2678697
—
OH
01
—
P00327423
RAILROAD MEDICARE
OH
Enumeration date
08/17/2006
Last updated
09/09/2025
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