Individual
BRIAN CHARLES NALAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OMPT, CWT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004297
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650E018080
BLUE CROSS PIN NUMBER
MI
Enumeration date
02/07/2006
Last updated
09/08/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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