| NPI | 1124237516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX BOUHACHEM CEO 313-406-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5901002050) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-01-24 |