| NPI | 1770508350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ER0200X Podiatrist, Radiology | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-05-03 |