| NPI | 1235456609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE Managing Partner 248-348-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2021-02-23 |