| NPI | 1588820229 |
|---|---|
| Doing Business As | IDEAL HOME PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | IRENE OSHIYOYE Administrator 248-440-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |