| Doctor Name: | DR. JOEL WILLIAM CONSOLO |
| NPI Number: | 1083617559 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 36-00-2994-C |
| Business Practice Address: | 40 Clay St Tiffin, OH - 448832241 |
| Business Phone Number: | 4194438637 |
| Business Fax Number: | 4194439937 |
| Mailing Address: | Po Box 177, TIFFIN |
| State: | OH |
| Postal Code: | 448830177 |
| Phone Number: | 4194438637 |
| Fax Number: | 4194439937 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 11/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 36-00-2994-C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |