Organization
AFFILIATED KNEE PAIN SPECIALISTS PLLC
Active
Other names
NU LIFE MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE Z KALLABAT (OWNER)
(248) 331-1700
Entity
Organization
Contact information
Practice address
8565 N SILVERY LN STE 402, DEARBORN HEIGHTS, MI 48127-4518
(313) 512-7111
Mailing address
31333 SOUTHFIELD RD STE 103, BEVERLY HILLS, MI 48025-5473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/09/2022
Last updated
01/24/2023
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