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Organization

KHALIL & USEN DPM, PC

Active
Other names
Family Foot and Ankle Specialist
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMAD FAYEZ KHALIL DPM (V PRES)
(734) 284-1333
Entity
Organization

Contact information

Practice address
1628 FORD AVE, WYANDOTTE, MI 48192-2304
(734) 284-1333
(734) 284-1311
Mailing address
1628 FORD AVE, WYANDOTTE, MI 48192-2304
(734) 284-1333
(734) 284-1311

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H22778
BLUE CROSS AND BLUE SHIELD OF MICHIGAN
MI
01
DF5292
RAILROAD MEDICARE
MI
Enumeration date
05/26/2006
Last updated
06/05/2020
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