| NPI | 1629699798 |
|---|---|
| Doing Business As | MODERN PODIATRY: FOOT & ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | WOOJUNG MICHELLE LEE Doctor/Founder 972-645-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2021-09-02 |