| NPI | 1144431669 |
|---|---|
| Doing Business As | HIGHLAND PARK FOOT CLINIC INC. |
| Entity Type | Organization |
| Authorized Contact | RONALD EUGENE WILSON Podiatrist 313-865-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MI 5901001377) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2010-02-26 |