| Midwest Foot And Ankle Clinic Llc | |
|
208 Columbus St Ste 200, Hicksville, OH 43526-1250 | |
| (416) 799-1180 | |
| Not Available |
| Full Name | Midwest Foot And Ankle Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 208 Columbus St Ste 200, Hicksville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265014286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Nitie I Sroa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215236864 PECOS PAC ID: 8426291469 Enrollment ID: I20210721001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Foot And Ankle Clinic Llc 13611 Puff Rd, Fort Wayne, IN 46845-8802 Ph: (419) 799-1180 | Midwest Foot And Ankle Clinic Llc 208 Columbus St Ste 200, Hicksville, OH 43526-1250 Ph: (416) 799-1180 |
Nitie I Sroa, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 208 Columbus St Ste 200, Hicksville, OH 43526 Phone: 419-799-1180 | |
Midwest Foot And Ankle Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 208 Columbus St Ste 200, Hicksville, OH 43526 Phone: 419-799-1180 | |
Midwest Foot And Ankle Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 208 Columbus St Ste 200, Hicksville, OH 43526 Phone: 419-799-1180 |