| NPI | 1295261436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL D BIETLER Podiatrist 410-768-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MD 00445) |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2017-08-01 |