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Organization
KETALITYRX PLLC
Active
Organization
KETALITYRX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON OLAFSSON DC (PHYSICIAN)
(248) 495-6066
Entity
Organization
Contact information
Practice address
55130 VAN DYKE AVE, SHELBY TWP, MI 48316-5302
(586) 207-1624
Mailing address
55130 VAN DYKE AVE, SHELBY TWP, MI 48316-5302
(586) 207-1624
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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