| NPI | 1366629594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE BLAKE RUBIN President Owner 313-273-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901000839) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-05-14 |