NPI | 1003935248 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA M OSTROSKI Owner 810-625-2744 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001994) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2010-01-21 |