Organization
OHIO PODIATRIC PHYSICIAN AND SURGEONS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D FETZER DPM (PHYSICIAN)
(330) 724-8689
Entity
Organization
Contact information
Practice address
335 E WATERLOO RD, AKRON, OH 44319-1218
(330) 724-8689
(330) 724-5470
Mailing address
335 E WATERLOO RD, AKRON, OH 44319-1218
(330) 724-8689
(330) 724-5470
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36-00-2423F
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
36-00-2423F
OH
213ES0131X
Foot Surgery Podiatrist
36-00-2423F
OH
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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