Organization Name: | FOOT HEALTH AND WELLNESS, LLC |
NPI Number: | 1013349752 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTINA DUGANDZIC (OWNER/PODIATRIST) |
Mailing Address: | 2717 S Arlington Rd Suite G Akron |
State: | OH US |
Postal Code: | 443124725 |
Phone Number: | 3306444303 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 36.003503 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |