Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Grand Lake Foot & Ankle Inc

Organization Podiatrist · NPI 1841576998

Grand Lake Foot & Ankle Inc provides Podiatrist services in Celina, Ohio. Licensed in Ohio. Registered with an NPI since 2011.

Licensed in
OH
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1222 Irmscher Blvd
Celina, OH 45822-8305 Not confirmed with CMS for 10 years — call before visiting
Phone: (419) 586-7874
Fax: (419) 586-2776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 36002772 (OH)

Record details

NPI number1841576998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Benjamin Swonger — Dpm · (419) 586-7874
NPI enumeratedNovember 2, 2011
Last updated in NPPESMarch 22, 2016
Mailing address1222 Irmscher Blvd, Celina, OH 45822-8305

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