NPI | 1154439651 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD MICHAEL CLEMENTE Sole Member 734-788-2107 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901001978) |
Enumeration Date | 2006-08-26 |
Last Update Date | 2020-08-22 |