| NPI | 1316665524 |
|---|---|
| Doing Business As | GRACE FOOT AND ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | LUCIA KIM Office Manager 269-317-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-12-02 |