| NPI | 1033560420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEVIN BLOCK Podiatrist/Owner 410-569-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-12-30 |