Individual
AZUR EZEKEL DE MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27240 HAGGERTY RD, SUITE E15, FARMINGTON HILLS, MI 48331-5716
(866) 991-0900
Mailing address
PO BOX 521, BRIGHTON, MI 48116-0521
(734) 223-0719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005642
MI
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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