Organization
HARRY A KEZELIAN JR D P M P C
Active
Parent organization
HARRY A KEZELIAN JR D P M P C
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARRY A KEZELIAN JR D P M P C
Authorized official
HARRY ALGER KEZELIAN JR. D.P.M. (PRESIDENT)
(248) 354-0057
Entity
Organization
Contact information
Practice address
29877 TELEGRAPH RD, SUITE 302, SOUTHFIELD, MI 48034-1332
(248) 354-0057
Mailing address
29877 TELEGRAPH RD, SUITE 302, SOUTHFIELD, MI 48034-1332
(248) 354-0057
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113830
—
MI
Enumeration date
12/27/2007
Last updated
03/14/2008
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