Search › Michigan › 174400000X
An Ly
NPI 1740553700 · on the registry since 2012 · sole proprietor
Practice
- Address
- 33162 Dequindre Rd
Sterling Heights, MI 48310 - Phone
- (586) 977-0202
- Fax
- (586) 977-6688
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 173C00000X
175L00000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-02-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan