# NORTHERN MICHIGAN PSYCHIATRIC SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962414805
- **Authorized official:** SANDER WECKSTEIN M.D. (PRESIDENT)
- **Authorized official phone:** (231) 935-0355

## Contact information

- **Practice address:** 3287 RACQUET CLUB DR UNIT A, TRAVERSE CITY, MI 49684-4702
- **Practice address phone:** (231) 935-0355
- **Practice address fax:** (231) 935-0360
- **Mailing address:** PO BOX 1024, CADILLAC, MI 49601-6024
- **Mailing address phone:** (231) 775-6076
- **Mailing address fax:** (231) 775-0027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 08/22/2020