NPI 1508264680

Ohio Podiatric Physicians and Surgeons Group, LLC

Organisation Primary Podiatric Medicine Podiatrist Maumee, OH

Practice location

Address: 5757 Monclova Rd Suite 5, Maumee, OH 43537-1863
Phone: (419) 893-5757
Fax: (419) 893-5399

Authorised official

Name: Beau Gregory Bortel
Title: Physician
Phone: (419) 893-5757

Registered specialties (3)

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 36003428 (OH)

Other Podiatrist providers in Ohio →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 36003428 (OH)

Foot Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 36003428 (OH)

Registry record

NPI: 1508264680
Entity type: Organization
NPI issued: 5 Dec 2014
Record last updated: 5 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.