Individual
WALID KAILANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25614 FORD RD, DEARBORN HEIGHTS, MI 48127-3024
(313) 791-8000
Mailing address
25614 FORD RD, DEARBORN HEIGHTS, MI 48127-3024
(313) 791-8000
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
6351001260
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08907974801
—
MI
Enumeration date
02/27/2023
Last updated
02/27/2023
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