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AESTHETIC THEORY PC

Active
Other names
Aesthetic Theory Medspa
Organization subpart
No

Provider details

NPI number
Authorized official
MALAZ ALATASSI MD (PHYSICIAN)
(248) 953-0526
Entity
Organization

Contact information

Practice address
3631 S BALDWIN RD, LAKE ORION, MI 48359-1506
(248) 499-9106
(248) 294-1351
Mailing address
3631 S BALDWIN RD, LAKE ORION, MI 48359-1506

Taxonomy

Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary

Other

Enumeration date
09/24/2024
Last updated
09/24/2024
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