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Organization
AFFILIATED KNEE PAIN SPECIALISTS, PLLC
Active
Organization
AFFILIATED KNEE PAIN SPECIALISTS, PLLC
Active
Other names
Nu Life Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE KALLABAT MD (OWNER)
(248) 939-3777
Entity
Organization
Contact information
Practice address
45445 MOUND RD STE 105, SHELBY TOWNSHIP, MI 48317-5178
(866) 207-5105
(248) 282-1313
Mailing address
45445 MOUND RD STE 105, SHELBY TOWNSHIP, MI 48317-5178
(866) 207-5105
(248) 282-1313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
07/07/2020
Last updated
01/24/2023
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