| NPI | 1649329590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART EDWARD KIRSCHENBAUM Dpm 313-894-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI sk000622) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |