| NPI | 1851027866 |
|---|---|
| Doing Business As | PREMIER FOOT & ANKLE GROSSE POINT |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BLAHOFSKI Manager 586-948-9417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-02 |