| NPI | 1235016122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE MIRKIN Owner 410-266-7575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-09-05 |