Individual
DR. PAUL GERARD CHRUSTOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
2001 W WARREN AVE, DETROIT, MI 48208-2216
(313) 748-6439
Mailing address
5673 GLASGOW DR, TROY, MI 48085-3156
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012165
MI
103TC0700X
Clinical Psychologist
6301012165
MI
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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