| NPI | 1699887083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THROCKMORTON Owner 517-882-8673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901000906) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-05-05 |