Individual
SHYYAAN ALI KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20596 HALL RD, CLINTON TOWNSHIP, MI 48038-5326
(586) 371-6196
Mailing address
11335 OLIVE ST, WARREN, MI 48093-6559
(586) 871-8124
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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