| NPI | 1639117039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T LATHROP President 231-946-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MI DL000642) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-11-29 |