| NPI | 1497773782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAWRENCE ROSENBERG President 334-396-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 185 AND 186) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-04-09 |