NPI | 1043509433 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE SHERIDAN Owner 810-414-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001810) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2011-04-06 |