| NPI | 1427083492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND JOSEPH KOWALCHICK President 586-228-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI EK001446) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-05-13 |