Organization
KAZAN NUTRITION & WELLNESS CENTER PC
Active
Organization
KAZAN NUTRITION & WELLNESS CENTER PC
Active
Other names
Applied Health & Nutrition PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALLIL KAZAN DC (PRESIDENT)
(313) 652-1000
Entity
Organization
Contact information
Practice address
13700 MICHIGAN AVE STE 200, DEARBORN, MI 48126-3489
(313) 652-1000
(800) 451-0881
Mailing address
13700 MICHIGAN AVE STE 200, DEARBORN, MI 48126-3489
(313) 652-1000
(800) 451-0881
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346254604
—
MI
Enumeration date
03/14/2019
Last updated
03/14/2019
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