| NPI | 1013255207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEVE PILAKOWSKI Sole Member / Owner 785-843-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: KS 1200392) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2020-01-21 |