| NPI | 1669853776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M HOMER Podiatrist 248-891-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: MI 5901002514) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-08-14 |