| NPI | 1205028123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MATTHEW POUILLON Owner 616-706-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MI 5901002014) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-28 |