| NPI | 1023282373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID M STINES President 517-913-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001340) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-12-02 |