Organization
MICHIGAN HEALTHCARE PROFESSIONALS
Active
Other names
SLEEP DISORDER CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHAELENE GOGOLIN (ASS SECRETARY OF CREDENTIALING)
(248) 851-1430
Entity
Organization
Contact information
Practice address
29245 RYAN RD, SUITE 400, WARREN, MI 48092-4284
(586) 576-0106
(586) 576-0235
Mailing address
29992 NORTHWESTERN HWY, SUITE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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