| NPI | 1801910229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BERLIN Owner 586-776-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001005) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI 5901001005) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-08-04 |