| NPI | 1013347244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE B RUBIN Medical Director 313-273-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901000839) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2021-10-05 |