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Organization
HERBERT ISAAC CLINIC PLLC
Active
Organization
HERBERT ISAAC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFEY ILECHUKWU M.D (PRINCIPAL)
(248) 541-6630
Entity
Organization
Contact information
Practice address
10350 W 9 MILE RD, OAK PARK, MI 48237-2913
(248) 541-6630
Mailing address
10350 W 9 MILE RD, OAK PARK, MI 48237-2913
(248) 541-6630
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301060642
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4301060642
MI
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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