| NPI | 1083801385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID M STINES President 517-323-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901-001340) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |