| NPI | 1770763849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WARREN WITTENBERG Owner 248-627-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI SW000585) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2012-05-31 |