| NPI | 1013185214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER FIELD GREGORY Owner 734-522-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901000968) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2018-03-30 |