| NPI | 1801276274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J KLEIN Owner 734-572-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |