| NPI | 1659369031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANNETTE M. LINGEMAN Office Manager 586-779-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MI 59010000499) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |