| NPI | 1518251214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDY GOINS Owner 313-363-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001535) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |