# KHALIL AND USEN DPM PC II

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAMILY FOOT AND ANKLE II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972780286
- **Authorized official:** ALANNA WEAVER (MEDICAL BILLER)
- **Authorized official phone:** (734) 284-1333

## Contact information

- **Practice address:** 2075 FORT ST, LINCOLN PARK, MI 48146-2191
- **Practice address phone:** (734) 284-1333
- **Practice address fax:** (734) 284-1311
- **Mailing address:** 1628 FORD AVE, WYANDOTTE, MI 48192-2304
- **Mailing address phone:** (734) 284-1333
- **Mailing address fax:** (734) 284-1311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901001881 | MI | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 05/05/2008