| NPI | 1942491857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE LOUISE HARRIS Office Manager 248-355-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI FL000635) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI RL002077) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2020-08-22 |