Individual
NYLES MARK ZDZIEBLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26715 GREENFIELD RD, SOUTHFIELD, MI 48076-4717
(248) 557-0050
Mailing address
765 S GREY RD, AUBURN HILLS, MI 48326-3817
(414) 315-2040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
520103568
MI
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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