| NPI | 1689859399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE L SHERIDAN Owner 810-414-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001810) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-07-08 |