| NPI | 1396928297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MARIE ZYWICKI Office Manager 231-922-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901001664) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2013-07-10 |