| NPI | 1215368287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL B WEVER Foot And Ankle Specialist 231-690-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2018-09-07 |