| NPI | 1972279800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN FRASCONE Owner 586-725-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2023-09-08 |