| NPI | 1619062825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE JOSEPH CAICCO Owner Podiatrist 586-573-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901001745) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-11-15 |