| NPI | 1538833504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE PITCHER Office Manager/Biller 989-895-8594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |