| NPI | 1982367579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JAY President 248-545-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-11-03 |