Individual
DR. TY M KWAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD, STE 329, ROYAL OAK, MI 48073-6770
(248) 551-1399
(248) 551-5158
Mailing address
3535 W 13 MILE RD, STE 329, ROYAL OAK, MI 48073-6770
(248) 551-1399
(248) 551-5158
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301061638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431277710
—
MI
Enumeration date
07/06/2006
Last updated
10/23/2020
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