Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1979 | OH |
Y | 222Z00000X | Podiatrist | 1979 | OH |
N | 213EP1101X | Primary Podiatric Medicine | 1979 | OH |
N | 2081S0010X | Sports Medicine | 1979 | OH |
N | 213ES0000X | Sports Medicine | 1979 | OH |
N | 213ES0131X | Foot Surgery | 1979 | OH |
NPI | 1023085313 |
---|---|
Provider Name | Dr. Michael Guy Warshaw |
First Address | Warren, OH 44483-6257 |
Second Address | Warren, OH 44483-6257 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2006 |
Last Update Date | 18/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U10326 | (02) | OH |