| NPI | 1518742071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MICHAEL CARROLL President 248-376-6421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-08-15 |