Individual
KURT KAZANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RN, CHE
Contact information
Practice address
296 S MAIN ST STE 203, PLYMOUTH, MI 48170-4256
(734) 207-7558
(734) 207-7560
Mailing address
269 SOUTH MAIN STREET, SUITE #203, PLYMOUTH, MI 48170
(734) 207-7558
(734) 207-7560
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
20-4094045
MI
Other
Enumeration date
08/24/2015
Last updated
07/21/2022
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