Organization
MICHIGAN LIGHT THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI B TOPOUZIAN D.O. (PRESIDENT)
(248) 240-0450
Entity
Organization
Contact information
Practice address
1900 SOUTH TELEGRAPH ROAD, SUITE 102, BLOOMFIELD HILLS, MI 48302-0238
(248) 240-0450
(248) 927-0888
Mailing address
1900 SOUTH TELEGRAPH ROAD, SUITE 102, BLOOMFIELD HILLS, MI 48302-0238
(248) 240-0450
(248) 927-0888
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5101008226
MI
Other
Enumeration date
01/07/2009
Last updated
10/19/2009
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