| NPI | 1336226406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NORMAN EVANS President 313-386-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001476) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-05-15 |