Organization
DR. WM. D. TENNEY
Active
Other names
Solon Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WM. D. TENNEY D.P.M. (OWNER)
(440) 248-3374
Entity
Organization
Contact information
Practice address
6440 S.O.M. CENTER RD., SOLON, OH 44139
(440) 248-3374
Mailing address
6440 S.O.M. CENTER RD., SOLON, OH 44139
(440) 248-3374
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001599
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232948
—
OH
01
—
274388804002
MEDICAL MUTUAL OF OHIO
OH
01
—
480012319
RR MEDICARE
OH
Enumeration date
10/06/2006
Last updated
10/10/2008
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