| NPI | 1881724227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MITCHELL LIESMAN President, Owner 704-442-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 356) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-11-21 |