Individual
DR. ANGELA FENELL GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
20800 WESTGATE MALL, SUITE 401, FAIRVIEW PARK, OH 44126-1323
(440) 333-7722
(440) 356-0310
Mailing address
20800 WESTGATE MALL, SUITE 401, FAIRVIEW PARK, OH 44126-1323
(440) 333-7722
(440) 356-0310
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.003596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061544
—
OH
Enumeration date
05/18/2009
Last updated
05/22/2013
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