| NPI | 1326531377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CALDERONE Provider 586-747-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001665) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |