Organization
ICON ANTI-AGING AND AESTHETICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER ZAYID MD (MEDICAL DIRECTOR)
(248) 436-4002
Entity
Organization
Contact information
Practice address
555 S OLD WOODWARD AVE STE 700, BIRMINGHAM, MI 48009-6607
(248) 821-4332
Mailing address
555 S OLD WOODWARD AVE STE 700, BIRMINGHAM, MI 48009-6607
(248) 436-4002
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/09/2024
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