| NPI | 1689690711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN FRASCONE Cmo 586-725-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00157) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: KY 00157) |
| 213ER0200X Podiatrist, Radiology (Licence: KY 00157) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-08-13 |