| NPI | 1700946928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKTORIYA BARG Owner And Physician 248-996-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901002190) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002190) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-08-13 |