| NPI | 1790883056 |
|---|---|
| Other Name | BRIAN E. HOMER |
| Entity Type | Organization |
| Authorized Contact | BRIAN E HOMER Owner 248-288-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MI 5901001699) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5901001699) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: MI 5901001699) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-11-09 |