| NPI | 1548397136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JEFFERY KLEIN Owner 734-572-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI MK001213) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2012-07-18 |