| NPI | 1902650229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE GUSCHING Owner 616-322-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |