| NPI | 1457385841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HILLSON Billing Agent 248-569-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901000807) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-02-21 |