| NPI | 1083647739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M WILUSZ President 248-672-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002033) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-06-11 |