| NPI | 1023435203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LUBIN Dpm/Owner 248-819-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MI 5901000759) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-07-13 |