Individual
DR. HARVEY J KOMORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD, SUITE 247, ROYAL OAK, MI 48073-6710
(248) 551-6520
(248) 551-6020
Mailing address
3535 W 13 MILE RD, SUITE 247, ROYAL OAK, MI 48073-6710
(248) 551-6520
(248) 551-6020
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301024827
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016480
—
MI
Enumeration date
12/02/2005
Last updated
07/08/2007
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