Organization · Type 2 NPI

Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC

Foot & Ankle Surgery Podiatrist · Oak Park, MI

NPI number 1104085083 Active

About NPI 1104085083

Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC's National Provider Identifier is 1104085083, issued on Jun 5, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Oak Park, MI. The record was last updated on Aug 4, 2012.