| NPI | 1316041742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL G SOLOMON Sec/Treasurer 586-755-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI CY000630) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MI MS000671) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |