| NPI | 1467630830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEE HALEY Office Manager 734-455-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI MH001532) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2016-02-26 |