NPI | 1215029418 |
---|---|
Other Name | BRIAN E. HOMER |
Entity Type | Organization |
Authorized Contact | BRIAN E HOMER Owner 248-288-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MI 5901001699) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5901001699) |
335E00000X Prosthetic/Orthotic Supplier (Licence: MI 5901001699) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2012-11-13 |