| NPI | 1730151036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA A BRUBAKER Billing Mgt 586-263-4411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001045) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2009-02-13 |