| Organization Name: | ADVANCED FOOT & ANKLE CARE CENTERS OF OHIO, INC. |
| NPI Number: | 1043255474 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC J. POLANSKY (OWNER) |
| Mailing Address: | 1255 E Ash St Piqua |
| State: | OH US |
| Postal Code: | 453564131 |
| Phone Number: | 9377730980 |
| Fax Number: | 9377731006 |
| NPI Enumeration Date: | 06/19/2006 |
| NPI Last Update Date: | 08/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |