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Organization

TKM, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WALLY SHERMAN MAHAR M.D. (PRESIDENT)
(313) 221-6939
Entity
Organization

Contact information

Practice address
21 MIDLAND ST, HIGHLAND PARK, MI 48203-3727
(313) 221-6939
Mailing address
21 MIDLAND ST, HIGHLAND PARK, MI 48203-3727
(313) 221-6939

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
09/09/2019
Last updated
09/09/2019
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