| NPI | 1144695263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDEY NASSER Podiatrist 313-969-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002505) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2023-01-20 |