# MICHIGAN LIGHT THERAPY PC

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

## Provider details

- **NPI number:** 1679710008
- **Authorized official:** KERI B TOPOUZIAN D.O. (PRESIDENT)
- **Authorized official phone:** (248) 240-0450

## Contact information

- **Practice address:** 1900 SOUTH TELEGRAPH ROAD, SUITE 102, BLOOMFIELD HILLS, MI 48302-0238
- **Practice address phone:** (248) 240-0450
- **Practice address fax:** (248) 927-0888
- **Mailing address:** 1900 SOUTH TELEGRAPH ROAD, SUITE 102, BLOOMFIELD HILLS, MI 48302-0238
- **Mailing address phone:** (248) 240-0450
- **Mailing address fax:** (248) 927-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 5101008226 | MI | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 10/19/2009