| NPI | 1295996502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A VANDERBIE Physican 269-327-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001113) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |