| NPI | 1639463821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANIA BEYDOUN Owner 734-261-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2011-08-15 |