| NPI | 1598730962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E BARNA Owner 248-569-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2022-03-08 |