| NPI | 1679817761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA STOUTENBURG - ALAOUIE Owner 810-648-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002214) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |