Individual
DR. MICHAEL G KIZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32255 NORTHWESTERN HWY STE 180, FARMINGTON HILLS, MI 48334-1573
(248) 355-0880
(248) 355-9232
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301057783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750364550
—
MI
01
—
MI4989120
MEDICARE PTAN
MI
Enumeration date
11/25/2005
Last updated
07/09/2019
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