| NPI | 1952569790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE R PIERCE CEO 810-406-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2022-02-10 |