| NPI | 1326236514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA LYNNE SPEARS President 269-639-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001629) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-12-04 |