| NPI | 1134126386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEH ROMAN LAWRIN Owner 586-759-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI 400101) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2015-09-29 |