Individual
BRIAN CHARLES NALAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OMPT, CWT
Contact information
Practice address
18791 15 MILE RD, CLINTON TOWNSHIP, MI 48035-2503
(586) 790-2326
(586) 790-2476
Mailing address
18791 15 MILE RD, CLINTON TOWNSHIP, MI 48035-2503
(586) 790-2326
(586) 790-2476
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
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