| NPI | 1053597914 |
|---|---|
| Other Name | SUPERIOR PODIATRY ASSOCIATES, P.L.C. |
| Entity Type | Organization |
| Authorized Contact | KENDALL P TABOR Owner/Podiatrist 906-225-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001089) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5901001089) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2011-12-20 |