Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI # | 1679693865 |
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| LBN Legal business name | MIDWEST PODIATRY SERVICES LTD | ||||
| Authorized official | LOWELL WEIL, JR. - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 03/30/2007 | ||||
| Last updated | 06/15/2022 - About 4 years ago | ||||
| Identifiers |
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