| Mark Kannzawa, D.o., P.l.c. | |
|
23933 Allen Rd Ste. 1 Woodhaven MI 48183-3372 | |
| (734) 671-1753 | |
| (734) 671-8130 |
| Full Name | Mark Kannzawa, D.o., P.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 23933 Allen Rd, Woodhaven, Michigan |
| Authorized Official Name and Position | Mark Kanzawa (OWNER) |
| Authorized Official Contact | 7346711753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Kannzawa, D.o., P.l.c. 23933 Allen Rd Ste. 1 Woodhaven MI 48183-3372 Ph: (734) 671-1753 | Mark Kannzawa, D.o., P.l.c. 23933 Allen Rd Ste. 1 Woodhaven MI 48183-3372 Ph: (734) 671-1753 |
| NPI Number | 1831343417 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 11/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831343417 | NPI | - | NPPES |
| 260042656 | Other | MI | RR MEDICARE |
| 5824919 | Other | MI | BCBSM |
| 4141722 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MK010480 (Michigan) | Primary |
Kasey Thomas, Ma, Bcba, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23400 Leighwood Dr, Woodhaven, MI 48183 Phone: 785-766-9006 | |
Sherry A Dees Lmsw Acsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23933 Allen Road, Suite 3, Woodhaven, MI 48183 Phone: 734-740-5106 Fax: 734-217-7501 | |
Sherry A Dees Lmsw Acsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23933 Allen Rd, Ste. 3, Woodhaven, MI 48183 Phone: 734-719-0863 Fax: 734-217-7501 | |
Verona Therapeutic Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16534 Sherwood Ln, Woodhaven, MI 48183 Phone: 734-642-6914 | |
Catherine Campbell, Lmsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23933 Allen Rd, Suite 3, Woodhaven, MI 48183 Phone: 734-833-3134 | |
Peer And Associates, Psychological Health And Wellness Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 22601 Allen Rd Ste 300, Woodhaven, MI 48183 Phone: 734-288-6595 | |
Turning Leaf Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26813 Park Ln, Woodhaven, MI 48183 Phone: 734-777-6375 |