| NPI | 1174012728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI NAWAF ALI Owner 313-558-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MI 5901002719) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2022-04-11 |