| NPI | 1881849347 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHRISTOPHER MICHAEL FALLU Physician/Owner 313-842-3388  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MI CF001733)  | 
| Enumeration Date | 2008-11-25 | 
| Last Update Date | 2008-11-25 |