Nomc Physician Services | |
461 W Huron St Pontiac MI 48341-1601 | |
(248) 857-7583 | |
Not Available |
Full Name | Nomc Physician Services |
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Speciality | Psychologist |
Location | 461 W Huron St, Pontiac, Michigan |
Authorized Official Name and Position | Lesley Willbrandt (DIRECTOR) |
Authorized Official Contact | 2488577595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nomc Physician Services 8221 Reliable Pkwy Chicago IL 60686-0001 Ph: (248) 857-7583 | Nomc Physician Services 461 W Huron St Pontiac MI 48341-1601 Ph: (248) 857-7583 |
NPI Number | 1609024892 |
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Provider Enumeration Date | 09/03/2008 |
Last Update Date | 09/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609024892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301012980 (Michigan) | Primary |
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