| NPI | 1457563926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC STEVEN MENDELSOHN Owner 248-569-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI EM000833) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI EM000833) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-02-25 |