| NPI | 1386910305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J PERO Owner 586-873-8913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO3394) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO3608) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3394) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3394) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3608) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2017-12-20 |