Organization
HARRY A KEZELIAN JR D P M P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY ALGER KEZELIAN JR. D.P.M. (PRESIDENT)
(248) 354-0057
Entity
Organization
Contact information
Practice address
4160 JOHN R ST, SUITE 1012, DETROIT, MI 48201-2020
(313) 831-6442
Mailing address
29877 TELEGRAPH RD, SUITE 200, SOUTHFIELD, MI 48034-1332
(248) 354-0057
(248) 723-8807
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113830
—
MI
Enumeration date
01/22/2007
Last updated
10/21/2014
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