| NPI | 1457596793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA LYNNE SPEARS Owner 269-217-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001629) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-16 |