Organization
AMZA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO HARLAN (PRESIDENT)
(313) 632-6527
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR, SUITE 210, SOUTHFIELD, MI 48075-5205
(313) 632-6527
(248) 552-6118
Mailing address
16250 NORTHLAND DR, SUITE 210, SOUTHFIELD, MI 48075-5205
(313) 632-6527
(248) 552-6118
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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