| NPI | 1427404847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN SOMERS Owner 248-751-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002185) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-12-01 |