| NPI | 1245408418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T KLEIN President 313-934-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2020-04-24 |