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Individual

SAUL Z FORMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
28800 ORCHARD LAKE RD, SUITE 250, FARMINGTON HILLS, MI 48334-2981
(248) 932-2500
(248) 932-2506
Mailing address
28800 ORCHARD LAKE RD, SUITE 250, FARMINGTON HILLS, MI 48334-2981
(248) 932-2500
(248) 932-2506

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301028092
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1166192
MI
Enumeration date
08/18/2005
Last updated
07/08/2007
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