Organization
PAUL KENZIE, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA JEAN FITZGIBBON (OFFICE MANAGER)
(734) 453-8450
Entity
Organization
Contact information
Practice address
108 N MAIN ST, PLYMOUTH, MI 48170-1236
(734) 453-8450
(734) 453-6347
Mailing address
108 N MAIN ST, PLYMOUTH, MI 48170-1236
(734) 453-8450
(734) 453-6347
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4901002510
MI
Other
Enumeration date
02/08/2007
Last updated
12/22/2008
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