NPI 1043096761

Online Controlled Kravings Weight Loss PLLC

Organisation General Practice Physician Southfield, MI

Practice location

Address: 21701 W 11 Mile Rd STE 5, Southfield, MI 48076-3713
Phone: (248) 429-9556

Authorised official

Name: Zakari Tata
Title: Authorized Official
Phone: (248) 429-9556

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Michigan →

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1043096761
Entity type: Organization
NPI issued: 7 Sep 2023
Record last updated: 7 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.