Organization
COMPREHENSIVE PSYIATRIC SERVICES OF WESTERN MI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J DIRKSE MD (PRESIDENT CHILD PSYCHIATRIST)
(616) 399-7005
Entity
Organization
Contact information
Practice address
12978 JAMES STREET, STE 10, HOLLAND, MI 49424
(616) 399-7005
(616) 399-7150
Mailing address
12978 JAMES STREET, STE 10, HOLLAND, MI 49424
(616) 399-7005
(616) 399-7150
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
032227
MI
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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