Doctor Name: | DR. ADAM WARREN |
NPI Number: | 1326170358 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M |
License Number: | 2253 |
Business Practice Address: | 3645 Warrensville Center Rd Suite 314 Shaker Hts, OH - 441225247 |
Business Phone Number: | 2167527700 |
Business Fax Number: | 2167527720 |
Mailing Address: | 3645 Warrensville Center Rd, Suite 314 SHAKER HTS |
State: | OH |
Postal Code: | 441225247 |
Phone Number: | 2167527700 |
Fax Number: | 2167527720 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 2253 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |