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Organization

ADVANCED FOOT & ANKLE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA GRUNDY DPM (DOCTOR)
(219) 405-3775
Entity
Organization

Contact information

Practice address
111 BOYD CIR, MICHIGAN CITY, IN 46360-7016
(219) 405-3775
(219) 405-3775
Mailing address
27 ASPEN RD, PORTAGE, IN 46368-1027
(219) 405-3775
(219) 405-3775

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000941A
IN

Other

Enumeration date
02/07/2012
Last updated
09/12/2019
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