| NPI | 1083892178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN SHELDON President 734-994-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901002011) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5901002011) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-03-27 |