NPI | 1629117411 |
---|---|
Doing Business As | SUPERIOR FOOT & ANKLE |
Entity Type | Organization |
Authorized Contact | HEATHER L FRUSTAGLIO Office Manager 906-225-4782 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI 5901001221) |
Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: MI 5901001221) |
213ES0131X Podiatrist, Foot Surgery (Licence: MI 5901001221) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |