OrganizationActive
Avon Lake Podiatry Inc
NPI 1992864490 · Foot & Ankle Surgery Podiatrist · Avon Lake, OH
Provider details
- NPI number
- 1992864490
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Mark Gould, President
- License
- 36.002416 (OH)
Practice location
32730 Walker Rd
Suite I-3
Avon Lake, OH 44012-4100
Phone: (440) 933-4021
Fax: (440) 933-7132
Mailing address
32730 Walker Rd
Avon Lake, OH 44012-4100
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2008-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.