Organization
KHALIL AND USEN DPM PC II
Active
Other names
FAMILY FOOT AND ANKLE II
Organization subpart
No
Provider details
NPI number
Authorized official
ALANNA WEAVER (MEDICAL BILLER)
(734) 284-1333
Entity
Organization
Contact information
Practice address
2075 FORT ST, LINCOLN PARK, MI 48146-2191
(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
5901001881
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H23317
BLUE CROSS AND BLUE SHIELD OF MICHIGAN
—
Enumeration date
01/29/2008
Last updated
05/05/2008
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