| NPI | 1932526993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONWAY T MCLEAN Physician / Owner 906-225-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI CM002555) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI CM002555) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2023-09-06 |