| NPI | 1689076408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET BAATILE-AJROUCHE Partner 734-667-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MI 5901002291) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2015-01-29 |