| NPI | 1619186509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE STEPHEN LIPSON President 313-532-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: MI 0000627) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-26 |