Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Lake Foot & Ankle Inc

Organization Podiatrist · NPI 1841576998

Grand Lake Foot & Ankle Inc is a Podiatrist in Celina, Ohio. Licensed in Ohio. Registered with an NPI since 2011.

Licensed in
OH
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1222 Irmscher Blvd
Celina, OH 45822-8305
Phone: (419) 586-7874
Fax: (419) 586-2776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 36002772 (OH)

Record details

NPI number1841576998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Benjamin Swonger — Dpm · (419) 586-7874
NPI enumeratedNovember 2, 2011
Last updated in NPPESMarch 22, 2016
Mailing address1222 Irmscher Blvd, Celina, OH 45822-8305

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