Laurence W Spivack DPM

NPI 1043215817 - Podiatrist - 213EP1101X

NPI Details
NPI 1043215817
Gender Male
Enumeration Date 06/16/2005
Last Updated 11/09/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
9485 MENTOR AVE
STE 200
MENTOR OH, 44060-8723, US
Phone (440) 205-5878
Fax
Business Location
35010 CHARDON RD 101A
WILLOUGHBY HILLS OH, 44094-9011, US
Phone (440) 953-3668
Fax
Toxanomy
Taxonomy Code 213EP1101X
License State Ohio
License Number OH001535
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According to our database, Dr. Laurence W Spivack DPM NPI is 1043215817, taxonomy code is 213EP1101X and license number is OH001535, license state is located at Ohio. Laurence W Spivack DPM physically located at 9485 Mentor Ave, Mentor OH, 44060-8723. NPI Number Laurence W Spivack DPM has the Individual type.

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1043215817 NPI number is provided on an as is basis without warranty of any kind. 1043215817 is maintained by the National Plan & Provider Enumeration System. The contents of Laurence W Spivack DPM are for informational purposes only.