| NPI | 1104085083 |
|---|---|
| Doing Business As | RECONSTRUCTIVE FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | SEHRA SIDDIQUE Manager 248-545-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002201) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2012-08-04 |