| NPI | 1194964452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY STEFANSKY Owner 248-390-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MI 5901002115) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2019-07-23 |