MEDICARE: FOOT HEALTH AND WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	36.003503	OH

General Provider Information

NPI Number	:	1013349752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT HEALTH AND WELLNESS, LLC

Provider Business Mailing Address
First Line	:	2717 S ARLINGTON RD
Second Line	:	SUITE G
City	:	AKRON
State	:	OH
Zip	:	44312-4725
Country	:	US
Telephone Number	:	330-644-4303
Fax Number	:	844-269-8699

Provider Business Practice Location Address
First Line	:	2717 S ARLINGTON RD
Second Line	:	SUITE G
City	:	AKRON
State	:	OH
Zip	:	44312-4725
Country	:	US
Telephone Number	:	330-644-4303
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PODIATRIST
Name	:	DR. KRISTINA DUGANDZIC
Credential	:	D.P.M.
Telephone Number	:	330-592-8619

Provider Enumeration Date	:	08/05/2013
Last Update Date	:	04/15/2014

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Directions to “FOOT HEALTH AND WELLNESS, LLC ” Practice Location

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