Foot And Ankle Clinic

NPI 1710912936 - Podiatrist - 213E00000X

NPI Details
NPI 1710912936
Enumeration Date 07/12/2006
Last Updated 04/11/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JONATHAN M JONATHAN
Position PROVIDER
Phone (260) 407-8000
Fax (260) 407-8004
Practice Location
145 S 2ND ST
DECATUR IN, 46733-1664, US
Phone (260) 407-8000
Fax (260) 407-8004
Business Location
145 S 2ND ST
DECATUR IN, 46733-1664, US
Phone (260) 407-8000
Fax (260) 407-8004
Toxanomy
Taxonomy Code 213E00000X
License State Indiana
License Number 07000685
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According to our database, Foot And Ankle Clinic NPI is 1710912936, taxonomy code is 213E00000X and license number is 07000685, license state is located at Indiana. Foot And Ankle Clinic physically located at 145 S 2nd St, Decatur IN, 46733-1664. NPI Number 1033115704 has the healthcare provider type.

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1710912936 NPI number is provided on an as is basis without warranty of any kind. 1710912936 is maintained by the National Plan & Provider Enumeration System. The contents of Foot And Ankle Clinic are for informational purposes only.