| NPI | 1104025220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R WILLIAMS Provider 810-653-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI MW001983) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2013-06-28 |