Individual
DR. JEFFREY AVEDIS KEZLARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1760 S TELEGRAPH RD STE 220, BLOOMFIELD HILLS, MI 48302-0182
(517) 882-3732
(517) 882-3633
Mailing address
1760 S TELEGRAPH RD STE 220, BLOOMFIELD HILLS, MI 48302-0182
(517) 882-3732
(517) 882-3633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
JK052428
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1909467
—
MI
01
—
382896652
TAX ID#
MI
Enumeration date
09/28/2006
Last updated
02/29/2024
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