| NPI | 1720228976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED JAMALUDDIN President 269-267-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI 5901001615) |
| Enumeration Date | 2009-02-28 |
| Last Update Date | 2012-09-18 |