| NPI | 1104046325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GUISINGER President 616-393-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901001739) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5901001739) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2022-03-17 |