Individual
GRZEGORZ ZAWISLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2055 FRANKLIN RD, BLOOMFIELD TOWNSHIP, MI 48302-0327
(313) 740-2672
(248) 967-2266
Mailing address
2055 FRANKLIN RD, BLOOMFIELD TOWNSHIP, MI 48302-0327
(313) 740-2672
(248) 967-2266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005051
MI
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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