| NPI | 1174953335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MARTIN Owner 586-580-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI RM002147) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |