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 |