| NPI | 1902116155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DENNIS RICHMOND President 231-347-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI PR001669) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI PR001669) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-12-03 |