| NPI | 1316126345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HOLLAND Owner 989-667-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MI MH400209) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2011-02-25 |