| NPI | 1851586515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE L BILLS Owner 989-775-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MI 5901001836) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-06-11 |