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Organization
ALAN KWASELOW MD, PC
Active
Organization
ALAN KWASELOW MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN KWASELOW D.O. (OWNER PRESIDENT)
(248) 347-8121
Entity
Organization
Contact information
Practice address
46325 W 12 MILE RD, SUITE 215, NOVI, MI 48377
(248) 347-8121
(248) 305-6254
Mailing address
46325 W 12 MILE ROAD, SUITE 215, NOVI, MI 48377
(248) 347-8121
(248) 305-6254
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
10/19/2007
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