Organization
CONRAD A KAWEL III M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD A KAWEL III M.D. (PRESIDENT)
(248) 471-4600
Entity
Organization
Contact information
Practice address
20220 FARMINGTON RD, LIVONIA, MI 48152-1412
(248) 471-4600
(248) 471-4082
Mailing address
20220 FARMINGTON RD, LIVONIA, MI 48152-1412
(248) 471-4600
(248) 471-4082
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301050558
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18636621001
—
MI
Enumeration date
11/29/2011
Last updated
11/29/2011
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