| NPI | 1003999418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WEINERT President Physician 586-751-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901001964) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-10-29 |