| NPI | 1962609974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART GERALD LEFF President 586-776-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901000543) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: MI 5901000543) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-10-03 |