| Great Minds Of Michigan Pllc | |
|
200 Diversion St Suite 150 Rochester Hills MI 48307-2267 | |
| (586) 913-1038 | |
| (586) 773-3355 |
| Full Name | Great Minds Of Michigan Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 200 Diversion St, Rochester Hills, Michigan |
| Authorized Official Name and Position | Janet S Reed (MEMBER, DIRECTOR) |
| Authorized Official Contact | 5869131038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Minds Of Michigan Pllc 23210 Greater Mack Ave #216 Saint Clair Shores MI 48080-3422 Ph: (586) 913-1038 | Great Minds Of Michigan Pllc 200 Diversion St Suite 150 Rochester Hills MI 48307-2267 Ph: (586) 913-1038 |
| NPI Number | 1609173921 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 02/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609173921 | NPI | - | NPPES |
| PHD888810 | Medicaid | MI | |
| JR012828 | Other | MI | CHAMPUS-CHAMPUS |
| JR012828 | Other | MI | COMMERCIAL-COMMERCIAL |
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