| NPI | 1194922559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE LOUISE HARRIS Office Manager 248-355-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI fl000635) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI RL002077) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2008-12-11 |