| NPI | 1275715070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM BRUCE PIKE Doctor Of Podiatry 989-752-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 000623) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-05-28 |