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Organization

DANNY KEWSON M.D. P.C

Active
Other names
Southeast Michigan Ear, Nose and Throat
Organization subpart
No

Provider details

NPI number
Authorized official
DANNY T KEWSON MD (OWNER)
(313) 562-4100
Entity
Organization

Contact information

Practice address
2454 MONROE ST STE A, DEARBORN, MI 48124
(313) 562-4100
Mailing address
2454 MONROE ST STE A, DEARBORN, MI 48124-3012
(313) 562-4100

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336362722
MI
01
ON92880
MEDICARE
MI
Enumeration date
06/01/2018
Last updated
08/17/2018
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