| NPI | 1124182456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN G HOFFMEISTER Vice President 616-364-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901001390) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI 5901001390) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2021-07-29 |