NPI | 1871261594 |
---|---|
Doing Business As | MAPLE PARK PODIATRY |
Entity Type | Organization |
Authorized Contact | MICHELE BERTELLE-SEMMA Co Owner 248-590-5414 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Enumeration Date | 2021-08-30 |
Last Update Date | 2021-08-30 |