| NPI | 1720424484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED BAZZI Owner 313-772-0805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002374) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |