| NPI | 1609981455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY K STINSON Owner 862-368-8609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ 25MD00273900) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |