| NPI | 1205974425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER B COLEMAN President. 586-979-0560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-04-14 |