CENTER FOR INDIVIDUALIZED MEDICINE PLLC
Organization (NPI-2)
Active
Psychiatry & Neurology, Child & Adolescent Psychiatry
Provider Information
- NPI Number
1760814289- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1404 BIDDLE AVE, WYANDOTTE, MI, 481923706
- Phone
- (734) 624-8000
- Fax
- (734) 326-1443
Specialties & Taxonomies
Psychiatry & Neurology, Child & Adolescent Psychiatry
Primary License: MI #4301046425