| NPI | 1447455415 |
|---|---|
| Former Legal Business Name | FOREST HILLS PODIATRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J TROMPEN Phyisican 616-942-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI MT001332) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-09-13 |