| Geropsych Group Llc | |
|
32270 Telegraph Rd Ste 240 Bingham Farms MI 48025-2457 | |
| (248) 593-1717 | |
| (248) 593-1711 |
| Full Name | Geropsych Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 32270 Telegraph Rd Ste 240, Bingham Farms, Michigan |
| Authorized Official Name and Position | Manuel Dumlao (OWNER) |
| Authorized Official Contact | 2485931717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geropsych Group Llc 32270 Telegraph Rd Ste 240 Bingham Farms MI 48025-2457 Ph: (248) 593-1717 | Geropsych Group Llc 32270 Telegraph Rd Ste 240 Bingham Farms MI 48025-2457 Ph: (248) 593-1717 |
| NPI Number | 1306143235 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 02/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306143235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | MD047459 (Michigan) | Primary |
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