| NPI | 1033551999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRONDON President 937-433-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: OH 36.003616) |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2013-07-20 |