Individual
MR. KYUHN ANTONIO MAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2520 WOODCHASE CT, STERLING HEIGHTS, MI 48310-7118
(248) 631-9471
Mailing address
2520 WOODCHASE CT, STERLING HEIGHTS, MI 48310-7118
(313) 350-7110
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L10359
MI
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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