| NPI | 1154817864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE M KAPLAN Sole Mbr 248-931-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3976) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2019-05-02 |