| NPI | 1114300530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW K THOMSON Podiatrist 517-882-8673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002238) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |