| Childrens Orthogenic Institute | |
|
2855 Coolidge Highway Suite 101 Troy MI 48084 | |
| (248) 649-9202 | |
| (248) 649-8922 |
| Full Name | Childrens Orthogenic Institute |
|---|---|
| Speciality | Psychologist |
| Location | 2855 Coolidge Highway, Troy, Michigan |
| Authorized Official Name and Position | William Phillip Bloom (MANAGING PARTNER) |
| Authorized Official Contact | 2486499202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Orthogenic Institute 2855 Coolidge Highway Suite 101 Troy MI 48084 Ph: (248) 649-9202 | Childrens Orthogenic Institute 2855 Coolidge Highway Suite 101 Troy MI 48084 Ph: (248) 649-9202 |
| NPI Number | 1770596587 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770596587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301006833 (Michigan) | Primary |
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