Organization · Type 2 NPI

MLRC A Medical Group PC

Addiction Medicine (Psychiatry & Neurology) Physician · Warren, MI

NPI number 1427563089 Active

Practice location

26803 Ryan Rd
Warren, MI 48091-4075

Mailing address

7318 Lindenmere Dr
Bloomfield, MI 48301-3531

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401X5101015978 (MI)

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

5 other providers at this address

About NPI 1427563089

MLRC A Medical Group PC's National Provider Identifier is 1427563089, issued on Dec 5, 2017. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Warren, MI. The record was last updated on Dec 5, 2017.