| NPI | 1508905985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE A YOUNG Owner 586-977-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901000652) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |