| NPI | 1841231891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE NELSON Owner/Physician 248-347-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001597) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-02-22 |