Organization Name: | DAWN Y STEIN DPM CWS LLC |
NPI Number: | 1053651745 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN MILDNER (BILLING MANAGER) |
Mailing Address: | 647 N Broad Street Ext Grove City |
State: | PA US |
Postal Code: | 161274604 |
Phone Number: | 7244586245 |
Fax Number: | 7244586244 |
NPI Enumeration Date: | 02/18/2013 |
NPI Last Update Date: | 09/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | SC006050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |