| NPI | 1417055393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA MICHELLE GREDLEIN Owner 410-833-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MD 01332) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-07-10 |