Organization
ADULT NEUROPSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN RONALD FUERST PHD (DIRECTOR)
(248) 363-4060
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST, 4J UHC, DETROIT, MI 48201-2153
(313) 745-1784
Mailing address
5006 FOOTHILLS DR, COMMERCE TOWNSHIP, MI 48382-1559
(248) 363-4060
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301008758
MI
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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