| NPI | 1205043361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH B DANIELS President 810-424-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI kd001100) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-06-11 |