NPI | 1174072763 |
---|---|
Doing Business As | MI FOOT AND ANKLE SPECIALIST |
Entity Type | Organization |
Authorized Contact | ALEXANDER PAUL THOMAS Owner 313-582-6222 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901002550) |
Enumeration Date | 2016-09-24 |
Last Update Date | 2017-05-02 |