Organization Active NPI

Alan Kwaselow MD, PC

  • Allergy & Immunology Physician
  • Novi, MI
National Provider Identifier
1285682484
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALAN KWASELOW MD, PC
Practice address
46325 W 12 Mile Rd
Suite 215
Novi, MI 48377
Phone
(248) 347-8121
Fax
(248) 305-6254
NPI assigned
May 4, 2006
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alan Kwaselow, D.O.
Title
Owner President
Phone
(248) 347-8121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

46325 W 12 Mile Rd
Suite 215
Novi, MI 48377

Mailing address

46325 W 12 Mile Road
Suite 215
Novi, MI 48377
Phone (248) 347-8121

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1285682484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE ROAD",
            "address_2": "SUITE 215",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-347-8121",
            "fax_number": "248-305-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD",
            "address_2": "SUITE 215",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-347-8121",
            "fax_number": "248-305-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN KWASELOW MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "KWASELOW",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "248-347-8121",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.