| NPI | 1306271101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE WOODY Owner 734-231-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001734) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2015-01-20 |