| NPI | 1821109836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN SCHRAM Vice President 248-626-7180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-10-28 |