| NPI | 1871965954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE BENS Owner 734-284-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MI 5901001481) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |