GRAND LAKE PODIATRY INC is a foot and ankle surgery podiatrist in Van Wert, OH. GRAND LAKE PODIATRY INC NPI is 1992977987. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
140 FOX RD
STE104
VAN WERT, OH
ZIP 45891-475
Phone: (419) 586-7874
Fax: (419) 586-2776
The provider's authorized official is Mary Katherine Benjamin-swonger .
The authorized official title is Podiatrist/owner-president and has the following contact phone number (419) 586-7874.
The enumeration date for this NPI number is 3/31/2008 and was last updated on 2/1/2011.