Organization
GRAND LAKE PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KATHERINE BENJAMIN-SWONGER DPM (PODIATRIST/OWNER-PRESIDENT)
(419) 586-7874
Entity
Organization
Contact information
Practice address
140 FOX RD, STE104, VAN WERT, OH 45891-2475
(419) 586-7874
(419) 586-2776
Mailing address
1222 IRMSCHER BLVD, CELINA, OH 45822-8305
(419) 586-7874
(419) 586-2776
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36 002772
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2544894
—
OH
Enumeration date
03/31/2008
Last updated
02/01/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us