Organization
CONCEPCION TY ANCOG, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONCEPCION TY ANCOG M.D. (OWNER)
(246) 646-5288
Entity
Organization
Contact information
Practice address
5528 METROPOLITAN PKWY, STERLING HEIGHTS, MI 48310-4105
(586) 795-3232
Mailing address
7383 LAHSER RD, BLOOMFIELD HILLS, MI 48301-4049
(248) 646-5288
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301404778
MI
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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