| NPI | 1063468387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DURENE MICHELLE ELEM-VAUGHN President 313-386-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI 5901001503) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-10-24 |