| 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 |