Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N006118 | NY |
N | 222Z00000X | Podiatrist | N006118 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | 36.003503 | OH |
NPI | 1043258445 |
---|---|
Provider Name | Dr. Kristina Dugandzic |
First Address | Akron, OH 44312-4708 |
Second Address | Akron, OH 44312-4725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 24/03/2020 |