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 |