| NPI | 1003092289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J SELLINGER Owner 734-971-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI DS001554) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI DS001554) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2010-04-07 |