| NPI | 1316767403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY CABANAW Practice Manager 248-333-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-21 |