| NPI | 1861825952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI M SAFIEDINE Doctor 877-682-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 59010021116) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 5330001050) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-21 |