| NPI | 1033619150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRYL DORSCH Owner 508-747-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 2352) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-04-04 |