| NPI | 1023415288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED BAZZI Owner 313-772-0805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002374) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-01-23 |