# CANTON ASTHMA & ALLERGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487715157
- **Authorized official:** JACQUELYN A ARZOOYAN (OFFICE MANAGER)
- **Authorized official phone:** (734) 394-2661

## Contact information

- **Practice address:** 1600 S CANTON CENTER RD STE 360, CANTON ASTHMA & ALLERGY, CANTON, MI 48188-0004
- **Practice address phone:** (734) 394-2661
- **Practice address fax:** (734) 394-2666
- **Mailing address:** 1600 S CANTON CENTER RD STE 360, CANTON ASTHMA & ALLERGY, CANTON, MI 48188-0004
- **Mailing address phone:** (734) 394-2661
- **Mailing address fax:** (734) 394-2666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | NULL | Yes |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 03/20/2018