| NPI | 1528334992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE JONES President 313-685-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 213E00000X Podiatrist | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |