| NPI | 1568643906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE GRETZ Physician 410-761-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MD 01219) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2011-01-21 |