| NPI | 1962898130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO L QUIRINDONGO-SOLANO Owner 248-752-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-05-12 |