MEDICARE: NEIL SAUNDERS DPM

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	332BC3200X	Customized Equipment (DME)	36.002506	OH
2	213ES0103X	Foot & Ankle Surgery Podiatrist	36002506	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669643136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIL SAUNDERS DPM

Provider Business Mailing Address
First Line	:	3030 W SYLVANIA AVE
Second Line	:	SUITE 105
City	:	TOLEDO
State	:	OH
Zip	:	43613-4100
Country	:	US
Telephone Number	:	419-474-3338
Fax Number	:	419-474-5193

Provider Business Practice Location Address
First Line	:	2735 NAVARRE AVE
Second Line	:	SUITE 101, BLDG A
City	:	OREGON
State	:	OH
Zip	:	43616-3275
Country	:	US
Telephone Number	:	419-691-3668
Fax Number	:	419-474-5193

Authorized Official
Title or Position	:	OWNER
Name	:	NEIL E. SAUNDERS
Credential	:	DPM
Telephone Number	:	419-474-3338

Provider Enumeration Date	:	03/12/2008
Last Update Date	:	10/31/2011

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Directions to “NEIL SAUNDERS DPM ” Practice Location

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