NPI | 1598060428 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY PATRICK BAESSLER President 248-565-5651 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001670) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2014-01-10 |