| Grand Lake Podiatry Inc | |
|
1222 Irmscher Blvd, Celina, OH 45822-8305 | |
| (419) 586-7874 | |
| (419) 586-2776 |
| Full Name | Grand Lake Podiatry Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1222 Irmscher Blvd, Celina, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871765362 | NPI | - | NPPES |
| 2056313 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36 002772 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Lake Podiatry Inc 1222 Irmscher Blvd, Celina, OH 45822-8305 Ph: (419) 586-7874 | Grand Lake Podiatry Inc 1222 Irmscher Blvd, Celina, OH 45822-8305 Ph: (419) 586-7874 |
Dr. Jennalee Rauh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 220 S Main St, Celina, OH 45822 Phone: 419-586-7874 Fax: 419-586-2776 | |
Agility Foot & Ankle Specialty Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 405 Myers Rd, Celina, OH 45822 Phone: 567-890-3668 Fax: 567-890-3670 | |
Agility Foot & Ankle Specialty Center Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 405 Myers Rd, Celina, OH 45822 Phone: 567-890-3668 Fax: 567-890-3670 | |
Grand Lake Foot & Ankle Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1222 Irmscher Blvd, Celina, OH 45822 Phone: 419-586-7874 Fax: 419-586-2776 |