| NPI | 1801955331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BREMER President 810-989-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901000901) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-05-12 |