IndividualActive
Douglas Vis, DPM
NPI 1740266410 · Podiatrist · Perry, OH
Provider details
- NPI number
- 1740266410
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 36003192 (OH)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
4056 Manchester Rd
Perry, OH 44081-8657
Phone: (440) 259-8120
Fax: (440) 259-8186
Approximate (ZIP-level) locationGet directions
Mailing address
4056 Manchester Rd
Perry, OH 44081-8657
Additional practice locations (1)
- 3903 Lake AveAshtabula, OH 44004-5833Phone: (440) 992-4477Fax: (440) 998-5452
Registry dates
- Enumerated
- 2005-12-15
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.