| NPI | 1023035748 |
|---|---|
| Doing Business As | PREMIER FOOT & ANKLE |
| Entity Type | Organization |
| Authorized Contact | ALEX FAWAZ Manager 248-219-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 261QP1100X Clinic/Center Podiatric (Licence: MI 5901001040) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-02-23 |