| Grand Lake Podiatry, Inc. | |
|
148 N Main St, Bluffton, OH 45817-1246 | |
| (419) 358-3050 | |
| (419) 358-0240 |
| Full Name | Grand Lake Podiatry, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 148 N Main St, Bluffton, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548377500 | NPI | - | NPPES |
| 2057929 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Lake Podiatry, Inc. 1222 Irmscher Blvd, Celina, OH 45822-8305 Ph: (419) 586-7874 | Grand Lake Podiatry, Inc. 148 N Main St, Bluffton, OH 45817-1246 Ph: (419) 358-3050 |
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› Verified 4 days ago
Daniel Wayne Kirk, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 148 N Main St, Bluffton, OH 45817 Phone: 419-358-3050 | |
Bluffton Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 148 N Main St, Bluffton, OH 45817 Phone: 419-358-3050 |