| NPI | 1104011493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAD D SPRUNGER President 248-312-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MI TS001984) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-10-18 |