NPI | 1386916351 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MARIE POTCHYNOK-LUND President 586-228-9660 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901001517) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2012-02-06 |