| NPI | 1578535019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL S WAYNE President/Owner 248-855-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI 5901400097) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-10-04 |