NPI | 1629248778 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY J BIANCHI President 810-824-1376 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI 5901001442) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: MI 5901001442) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5901001442) | |
Enumeration Date | 2008-03-05 |
Last Update Date | 2022-09-21 |