| NPI | 1518992536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY PUPP Physician 248-424-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MI 5901000690) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-10-17 |