Grand Lake Podiatry, Inc
Grand Lake Podiatry, Inc is a Foot & Ankle Surgery Podiatrist in Wapakoneta, Ohio. Licensed in Ohio. Registered with an NPI since 2008.
- Licensed in
- OH
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
812 Redskin Trl Ste BWapakoneta, OH 45895-8545
Phone: (419) 586-7874
Fax: (419) 586-2776
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence 36 002772 (OH) |
|---|
Record details
| NPI number | 1538331525 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Benjamin-Swonger — Podiatrist/Owner-President · (419) 586-7874 |
| NPI enumerated | March 31, 2008 |
| Last updated in NPPES | April 18, 2008 |
| Mailing address | 1222 Irmscher Blvd, Celina, OH 45822-8305 |