| 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 |