| NPI | 1497450514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M SHAIN Co Owner 734-246-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-08-15 |